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' ` � !.. l ` DEPARTMENT OF INDUST LABOR AND HUMAN RELATIONS
I r '!!�!j° ` SAFETY & BUILDINGS DIVISION
i „ .7.c, -_ 4i P.O. BOX 7969 I
�s 6 4 '4' MADISON, WISCONSIN 53707
PERMISSION TO START CONSTRUCTION
FEE REQUIRED IN ADDITION TO EXAMINATION /INSPECTION FEES
Location of Project:
i
Street: 41 -141 a : sera rd S E 118133
City:
Oshkosh Plan File Number 83
County:
Winnebago Date Plans Rec'd
Occupancy: Retail Store
We, the undersigned, request to begin footing and foundation work prior to approval of the plans in accordance with Ind. 50.14.
a
Plans have been submitted to the Department of Industry, Labor & Human Relations, Safety and Buildings Division, and all information
requested by Code Ind. 50.12 or Ind. 50.13 has been included with the submittal.
We have reviewed the specific code requirements for the building or structure and its use, as set forth in Ind. 50 -64, and, where applicable,
have shown compliance on the drawings.
We agree to make any changes required after the plans have been reviewed and to remove or replace noncode complying parts of the foun-
dation and or footings.
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure until I
approval has been received., 1 I - .04- 'Novi c I poi 510.-LA., f DE tog.. 11-16 Ih,tSTA L. t..ATt pA
-r4-4 t\ 0. E LedvAr tz... CZCa +.)r,. > I.5 1,4 My t &z's' C. 1 2 e .
We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities having jurisdiction in
accordance with their laws and ordinances.
1 ' 1 0 S OW- Nor 6E A -FI v( (t I C. t trL t rf- 015.
R-- .. .g,,e,.:, ,ts D IN) Tt.t A-is 1,-,6;1"16a- F+ tom 'ZS. 50 t. it 6 I) •
( . "24 ' 1 (.0--,4 - / ":9 4/1/ grA
' 6I 4Atikri 1 64.
Owner's Srgnat I yffte Accepted y Date
N ame: stores, Inc. Dept. of Ind., Labor & Human Relations
Safety & Buildings Division
Address: 2800 S. Ashland Ave.
Not Accepted Because
Green Bay, WI 54304
71 / 2 / , ' fl ( 1 , i / - Plans will be examined within the next
Designer's Signature /Date days.
Name: FOTII & VAN DYKE and Associates. Inc.
NOTE: This permission is applicable to projects having below grade
Address: 27 37 5, Ridge Rd.; P.O. Lox 3000 foundation work only.
Green Bay. WI 54303
SB -198 (R. 08/82)
BLDG. INSPECTORS COPY
OWNER A/1 , , ADDRESS / OO , 7..}.-e-61- ,?/---
DATE 1 // R PERMIT # / S' 84-- USE .(�_:/ �, � -` d
Wo co lists of 1 —o _ . %. Aid
GENERAL CONTRACTOR
MASON . CONTRACTOR - ZONE
Width of lot DATE INSPECTIONS
A REMARKS
V Ind 'IlisiThJoeflE_,,,,,,_JIPIP#FEHLIPA,
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Front of lot MAILING ADDRESS
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