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2013-Building (Telecom tower Modifi)
CITY OF OSHKOSH No 154570 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1471 S WASHBURN ST Owner WIS PUBLIC SERVICE CORP Create Date 02/26/2013 Designer Sean 0'Connell Contractor TENANT Inspector Nicole Krahn Category 250-Satellite Dish/Antennas Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning M-1 Class of Const: Size. Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood — - Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication __ #Dwelling Units 0 #Structures 0 Use/Nature Commercial—Telecom tower modifications* (remoe 6 existing panel antennaes, install 3 new panel antennaes; remove/install 2 cabinets of Work for"Sprint" HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $15,000.00 Plan Approval $0.00 Permit Fee Paid $330.00 Park Dedication $0.00 Issued By: ��— Date 02/27/2013 Final/O.P. 00/00/0000 �" ❑ Permit Voided Parcel Id# 1311700000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. I have read and understand the afore mentioned information. Signature Date Agent/Owner Address OSHKOSH WI 54901 - 0000 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Crt—A P O Box 1130 City of Oshkosh Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 Building Permit Application ;WW.ci.oshkosh.wi.us Project - Address )11 7' S. t-J&31 Applicant Owner Contractor Tenant Other(describe) 4 G Owner/ Name Scc- ,-� 0C,o.ti1r1.-c., /Ab ti- Phone `?-1-74,-??S-.75-7 z Exr No Tenant 6c6to Address 461 t 0n1cAc., 1L. Email 5-.AN) C7av,„ ( '.wt Contractor Company Name 1,l;r_Y-,JS Phone 4)1-1-3;z-G`133 Contact (`)‘L.,:..=,__ Email f1,V�i ��azu _S�,C� Cu:. Address 71)4 5i7" ■ 22C5 i,tw57 kz s C.1 532_1i State Credential#'s Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex Commerciaj,i Multifamily Industrial Catagory New Addition Alteration Project Description F4 3-7),J 1;JJ'1. +L r.l t..✓ ?i+.J•:.� ✓�'nc..hJ/r� ti�ria i./ e•).:)-11-1...l.. Z C :,'.TS Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ /5-1�-0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # i 6 Cash Permit Fee Account I certifi,the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. I acknowledge and agree to these terms. Name: S' +�'- (Please print) Date: .i 2_t/zo t 3 Signature: . 01/1 La Ol low 11 CO x Lu LLJ CL cc Ln P-1 LLJ Ln 0 0 CL ME 0 Oc 0. Ld In IN co In CD z 00 Li Uri LLJ In LLJ Ln nr En LLJ cz LL cr LU CL ca LU Lu Lb CL �j LO IL cn LLI W 0 LU 16 CL Li LLJ cn / ` LLI 40 3 iL in g 00 5 OR 04 Ln LLJ Li klk\ in i mu- Lu ui ml or a W. Hoa 8W M IL C5 LIH 6 m W--.j 6-26 ",Q g L vi. 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