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CITY OF OSHKOSH N2 25533
PERMIT - APPLICATION AND RECORD
TYPE: BLDG /`t' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 S-77 0- ,vt./� -e PLAN NO.
OWNER /> c • �.JDU6tyc)
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DESIGNER � / / 4
USE /NATURE OF WORK / ° �-tc �/ i �LR�C -- / ( aiee�Jz
BUILDING CONTRACTOR 11.4t'Al
Size Sq. Ft. # Rooms # Stories Z Height
Foundation Class of Const. Q� Occupancy Permit >O
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft
CBasin
Lav Sh DW DF _ San. Sewer
— WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
—Water
•
Other
FEES: Valuation $ V..' O'0 O Permit Fee Paid $ * e \/ Park Dedication $
ISSUED BY (.144././6-five-.— Date /F /30/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /-12°—(4f7--(-)
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
CITY OF OSHKOSi, CODE ENFORCEMENT DIVISION, 215 CHURCH AVENUE, OSHKOSH, WISCONSIN 54901
VIOLA TION /CORRECTION NOTICE
DATE INSPECTED: 0
OCCUPANCY INSPECTED %r76' -A::o7csdi AtawAei4.07
ADDRESS 9409 G /.4A e-(/
OWNERS NAME AND ADDRESS jA y-- a. 49o h 01.44 ', 2
NOTICE DELIVERED /EXPLAINED TO: „:/,_4(
cc:
ITEM / ORDER FINDINGS OF INSPECTION
1 7 -8 BUILDING WORK HAS COMMENCED PRIOR TO OBTAINING A
BUILDING PERMIT.
3
DEFICIENCIES MUST BE CORRECTED & APPROVED BEFORE CONCEALMENT.
CALL (414) 236 -5050 FOR INSPECTION.
COMPLIANCE DATE: Gti a.p
INSPECTOR: c,.✓ ��