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PERMIT — APPLICATION AND RECORD` CITY OF OSHKOSH A o N
►./ /J / 14768
Address 402/ , %- � 't->ti/ CU rc Owner - ..> ✓ Id. No.
�//Block Ward Subdivision Zoning R- Flood Plain
f Permit: Building k4 Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit Aele .� G Insp. Permit Date / (-(C-2
of Work �r.eLtr /2 a✓•L- /✓._�, — / Lr BUILDING Use _ / ��. L -
r �� 2i�i �� General ont. - i / T -
/ Ro Siding - .�.� ��
5 /t -Z... ,•r F5..-- -, .
Foundaton( .{win+6 44;Z. � ` r ,` Type ot!Construction tea---- G
-
/ia- fj i
IBING CONTRACTOR / � �- Size: 3 feet wi e feet long Y Square feet area / L
an. Sewer Curb to Bu. Main to Curb: Height: Stories and Basement a feet above Grade
t. Sewer Curb to Bu. Main to Curb c, f No. of Rooms
Width of Lot
Sewer Fees Mason
Service - ?t y
rub Floor Drain Urinal (r 1r 5 r
t. Carpenter 67-4/11-4"--, Basin Garbage Disp. S. Sink IA Architect
Closet Dish Washer Catch Basin 4F'' s (_ ^
t. \/) nk Laundry Mach. S. Pump \ Inspections -
Heater Water Soft. B & S Waste 0. rt....
er Bath Bubbler Conductors Footing Foundation
)ing Fees Total Fees
Electric Service R.I.
Is
'INS C ACTOR d Sewer Water Service
Gas Oil ❑ Elec. ❑ Solar ❑ Solid ❑ -c2. S' t c Final
tioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
m High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Estimated CO 3/ / Fees Paid7r g/ 5 -41‘) Date r J / _ /5
ley: "A" ❑ "a. ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E.I. ❑ TO THE BUILDING INSPECTOR: In accordance with Section 7.18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be
lated Heat Loss System BTU Rating discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, or wire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector. X •
TRIC CONTRACTOR _ / r?-v In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances.
is Service: New Changes Temp. codes, and rules goveming the de, cribecl construction.
iption -Type Volts Amps Owner
as Switches Recep's Circ's (Signed) fi P / /1 _/.
inces Address /� /t �GLL2 licAt7 1 Phone '? - /7�-3
By (AIxrnn :.d Swett.) A
ical Signs
Address Phone
( 2� �� �Z / ,