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PERMIT — APPLICATION AND RECORD CITY OF OSHKOSH OCT 0 3 1983
Address I H. -- c- r-`'`-'-f( =`) ✓ Owner "� rrk'A4C6 / d Ci 646 /Z - /Lf1 Id. No.
pt Rlock Ward Subdivision Zoning (l -/ /_ Flood Plain _
ype of Permit: Building 0 Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit %' Insp. - -/ Permit Datf
iature of Work ` ,'7f f..?..--L"--- ( . � ,' - BUILDING Use �;,.^-^^� 6 J o- w� i °
r
General Cont. u--""r^ -.^--
Roof % J ,d' / .,; _.i Siding I/ "�
Foundation P l� t � ^ Type of Constru ` "� � '
feet long Square feet area
PLUMBING CONTRACTOR � � /-1 ` Size: feet wide X g Sq
Bu. San. Sewer Curb to Bu. Main to Curb: Height: t Stories and-Basement— S feet above G
Bu. St. Sewer Curb to Bu. Main to Curb J
Width of Lot S No. of Rooms
Sewer Fees -2y f ' Mason "v
Water Service
Bath Tub Floor Drain Urinal S V
Z ? 3 - -�
�' Carpenter ^"
Naoh Basin Garbage Disp. S. Sink n ` Architect
N loset Dish Washer Catch Basin
K k Laundry Mach. S. Pump j 3
•
Water Heater Water Soft. B & S Waste �, j,..... ice, Inspections -
Shower Bath Bubbler Conductors / n Footing Foundation
Plumbing Fees Total Fees 7‘ r�
1 Electric Service R.I.
HEATING CONTRACTOR AA—AA-- 3 Sewer Water Service
=uel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑ ) 1 o
:onditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ ' Final
C /5/Q
System High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Estimated Cost _1& O(✓' Fees Paid r, ' /. -- Date ; --> - ' -
chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Bumer ❑ Flue Damper & E.I. ❑ TO THE BUILDING INSPECTOR: In accordance with Section 7.18 of the Municipal Code of the City oI Oshkosh, it is agreed that if wr
alculated 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 n
five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is appr,
r Building Inspector. X
ELECTRIC CONTRACTOR /�,
—�' In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ord
_lectric Service: New Changes Temp. codes, and ruleslgoveming the described construction.
)escription -Type Volts Amps
i
xtures Switches Recep's Circ's (Signed) y / /��,fl /�, ,E /- %tf
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.ppliances Address /`/:./.-.--` _ �-'' ` / : �' Phone e/i-a/-1 5 '/`
By (ANroru.d ewe. u.)
Electrical Signs
Address Phone
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