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S ' i* IMS 3NIl 1S3Mj'ZI 00 �" -. __ I _ _ , O£'0££I 3,bSo0N (1318V1 „Rug) 391 ' 14911 ,09'0992 V ZZ NO11335 33NNO3 WI 1S3M MI/033N 40 SS0H3 13SIH3) 39114 'N811 'ZZ N0I133S ' N3IINO3 1S3MH1110 00 i 1 ' ' 0N dVW A3A If1S 031d111:133 PERMIT — APPLICATION AND RECORD CITY OF OSHKOSH / 7 //1� °, 1 51 5 7 Address 2 J` U -� Owner i / /��s / �C�L7 c Q Id. No. Block Ward Subdivision Zoning G _L Flood Plain f Permit: Building CA Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit / G u s Insp. 1 v Permit Date / / - 4 �� N. / of Work a �.� - - .� /. BUILDING Use _ � ! �� 6 General Cont. 4—..Z...... �ti � A i�f� 6—k 1 V Roof n O / sc-C. L . 0 �J J Foundation Type of Construction ,/ Size: feet wide X feet long Square feet area IBING CONTRACTOR /Lte� :� an. Sewer Curb to Bu. Main to Curb: Height: Stories and Basement feet above Grade t. Sewer Curb to Bu. Main to Curb Width of rot No. of r ms jj Sewer Fees Mason /4'Lf Service 1 Carpenter rub Floor Drain Urinal Basin Garbage Disp. S. Sink Architect Closet Dish Washer Catch Basin nk Laundry Mach. S. Pump Heater Water Soft. B & S Waste ft. ft Inspections - e r Bath Bubbler Conductors Footing Foundation ling Fees Total Fees Electric Service R.I. ING C ACTOR ' -t".‘r a O 1 t Sewer Water Service Gas L Oil ❑ Elec. ❑ Solar ❑ Solid ❑ 1 • c Final boning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ n High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Estimated Cost er -CG% Fees Paid Date / — — C'., ley: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E.I. ❑ TO THE BUILDING INSPECTOR: In accordance with Section 7 -1 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be fated 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 wins fence not less than five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence wilt remain in position until removal is approved by the Building Inspector. TRIO CONTRACTOR . ' 7f1' In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances. c Service: New Changes Temp. codes, and rules goveming the described construction. Iption -Type Volts Amps as Switches Recep's Circ's (Signed) Owner nces Address Phone � / n - By `( .i, 1/ !.u/ily Agent /nmmluee signature) cal Signs Address ""--- - _n - '" "" 4-r !ir - 4 _ , Phone J `= - / ft - g` -- 7eL&) ' ti 1 ci) / f , , . ------ .....-t-t--r.......4....L., // 4.-- 1 7-4- .. • tA.A -a.. /J i c Lis . 6) 4- 4t a._ 1... J �� .._ I� • ilit) 96 e d C2 (r ljle • ; ate. - ,, � �,, A .... . - � a �� r Sy p,,, c.- 2 fin. 2 - 2 ©- V- 44 1 044.-- -/ 7- ,-- A,„ ' 7' /2 (i6() -6--ey7/-/