HomeMy WebLinkAboutRooming House License - 2013 � _
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No. �.]Z
� CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date � / Z s/�� Addressof Proposed Rooming House ��Z �L-nN �T_
Owner ��'�" Address �� 3S a�Y'�"�$� � ' t
E
Operator Address
Agent designated to receive notices
Address
Type of occupancy at presen ,`�O
Length of time in present occupancy
.. � � �
Number of sleeping rooms
Maximum number of occupants per sleeping room:
�f 1_� �f 3 1 #5 � #f 7� �f 9 �" �F E E►
�oj ,00
#2 � #4 � �f 6 � #8 —' # 10 Paid. �
Bed Linen and towels furnished by /1J��' �
Responsibility for cleanliness of sleeping rooms '��AN �'
Heating plant is capable of maintaining the premises at 65° F,when the outside timperature is-15° F.
Water heating facilities are capable of heating water to a temperature of at least 120° F. i
TO THE HOUSING INSPECTOR: The undersigned hereby applies for a license to operate a rooming house as
described in this application. Operation will be in compliance with the minimum housing code and other ordinances
of the City of Oshkosh and building code of the State of Wisconsin. In accordance with S. 11.13 (11) (d) of the s
Municipal Code of the City of Oshkosh, it is further agreed, that the City Clerk will be immediately notified
of any change of agent. In accordance with S. 11.13 (11) (e) of the Municipal Code of the City of Oshkosh, it is
further agreed that written notice will be given the Housing Inspector within 48 hours after transferring or o��herwise �:
disposing legal control of the above rooming house. `
E
Signed:
s�3s ��$� � _
Owner Address
Agent Address ;
License Issued:
�I,� II'� OFFICE USE ONLY �
.. Date received
Date
Zoning
�y 9 Inspected by
Number Date
t