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2013-Building
� CITY OF OSHKOSH No 157544 � OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1210-1226 S KOELLER ST Create Date 09/04/2013 Project TENANT BUILDOUT Project Number 20130574 Owner DOT PROPERTY LLC Plan BB1-3866-0813 Contractor R WALTER LLC Inspector Nicole Krahn Designer Category 223-Alteration O�ces, Banks, Professional Type of Plan Alt.Level 3 Zoning G2PD Square Footage Major Occ Business Const Class Type IIB Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design Occupancy Permit Required _ Flood Plain Height Permit Park Dedication #Dweiling Units 0 #Structures 0 � Projection 'I Canopies Signs Use/Nature of Work COMM/1210/Chiropractor o�ce*Converting existing shell space to a chiropractic office space. *'check#2128 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $36,000.00 Plan Approval $0.00 Permit Fee Paid $309.60 Park Dedication $0.00 Issued By: �1(� Date 09/04/2013 Final/O.P. 00/00/0000 G ❑ Permit Voided I Parcel Id# 1308480403 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 u der tand th afor me tione information. �/ //� Signature Date /j AgenUOwner Address 3630 WALTER ST Oshkosh WI 54901 - 0000 Telephone Number 920-231-6247 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 specifed 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. P O Box ll 30 � �lGy �f OS��OS/G Oshkosh,WI 54903-1130 � Phone:(920)236-5050 F�:(920)236-5084 Building Permit Application �'ww•ci.oshkosh.w�.us Project Address �Z�O 5 }���0 ��.. Applicant Owner Contractor Tenant Other(describe) Owner/ Name �a-� l.,,Lc Phone Tenant Address Email Contractor Company Name � ,� C,�Q,(�r. L L c Phone ai'2a-379-�i�/ Contact_�,�p�..� �„� Q,�1�,— Email Address �3't� t�.� .g��T�,r'.� S,t State Credential#'s /t�S"3/ C� C , /Z g'C 7 S 3 , �/ '�/ /S/ Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name (?�„�i9 Phone Designer y� -3/y9 Contact T,',,, /y1,4�,,�.+--L Email Address ` S 1 f� Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project T.p.;� �,.. �C 1� �:l a� av1 " Description Mechanical Separate permits will be obtained for the following: Permits Electrical by /�v//,gs Plumbing by D�t;( Heating by �,�e,.�J' Vatue of Job �� � $ "�, p OG (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # a�a g Cash Permit Fee Account I cert�the above information is complete and accu��ate. Any deviations from the obove submitted lnformation may reguBi�e addirional pennits to be obtained. 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