HomeMy WebLinkAbout0006201-Building (bath remodel)PERMIT - APPLICATION AND RECORD
Block
Building Electrical ❑
Ward
Heating ❑ Plumbing ❑
Nature of Work .ilG'� 7- t-4-
CITY OF OSHKOSH
Owner
Subdivision
Sign ❑
PLUMBING CONTRACTOR
Bu. San. Sewer
Curb to Bu.
Main to Curb:
Bu. St. Sewer
Curb to Bu.
Main to Curb
Sewer Fees
Water Service
Bath Tub —
Floor Drain
Urinal
Wash Basin
Garbage Disp.
S. Sink
Water Closet
Dish Washer
Catch Basin -
Kit. Sink
Laundry Mach.
S. Pump
Water Heater
Water Soft.
B & S Waste — -
Shower Bath
Bubbler
Conductors
Plumbing Fees
Total Fees
HEATING CONTRACTOR
Fuel: Gas ❑
Oil ❑ Elec. ❑
Solar ❑ Solid ❑
Conditioning
Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑
System
Gravity ❑ Supplementary El Air Cond. ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat
Loss
System BTU Rating
ELECTRIC CONTRACTORLT -
Electric Service: New Changes _ Temp.
Description -Type Volts Amps
Fixtures Switches Recep's Circ's
Appliances
Signs
Wrecking ❑ Occupancy Perm
Zoning
Insp
N_ 6201
Id. No.
Flood Plain'
Permit Date��=
BUILDING Use --7:,,,7
General Cont.�VG�i2t�T��?9I
Roof
Foundation
Size: -2 feet wide X - -feet long
Height: "" Stories and Basement
Width of Lot
K Wit. ft. r>
�1
Siding._
_ Type of Construction
Square feet area •� f�/-`
("-4 e -' meet above Grade
0
0
r
!v
0
No. of Rooms
Mason
Carpenter L'G
Architect
Inspections -
Footing Foundation
Electric Service R.I.
Sewer Water Service
Estimated Cosrl( , Z
Fees Pail �- Date
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 discontinued for a period of 30 days at any time for any cause afterexcavation 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
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes,
ordinances, codes, and rules governing the described construction.
(Signed)
Add i
By
Add I
ner