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� CITY OF OSHKOSH No 158774
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2018 OREGON ST Owner MATTHEW E/SARA N GONZALES Create Date 11/15/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
_ Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze __ _�
Zoning R-2 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 � Floating Slab 0 Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Owelling Units 0 #Structures 0
Use/Nature 15 replacement windows in existing openings. I
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,955.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: Date 11/15/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel id# 1402130000
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
AgenbOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
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.
11-14-' 13 16;41 FROM- T-439 P0001/0002 F-934
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� P 0 Box 1130
� ��t D OSFI,�OSF� � o�asn,WI 54903-�i3o
y f 1'hone:(920)231r5050
� Fax:(920)236-5084 .
BuYlding Permit Applicat�on `""�`'•�°�k°��.�'�°
Project •
Addreas� � f � W
Applla+nt Owner Contracto Tenant Other(descrfibe)
Owner/ Name,��,�-�� ��nh ,C1��1(��ff'•� Phone G �����
Ten�nt �����
Address 0 '� 1 ,' . It� �1 w l (k� F�qail .
Contractor Company�Namo��rl(�[,1n(yyf���l � ���4�I(11��P^� LC. Ahone�,b�1���-_ c�
Coatact �72d�. Ut�Vll�''�..�1 En�eil GU�p[�(Yrti IQ(;�'i�i��O�1P MUJ I•(
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Dwellu,g Cantracror Queli�sr�{ Dwaltie�g C�7ecwr� 13uitding Cootractor itegistr�uioo# �
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Achitcct/ � Compeny Name � Phone �
, Deslgner .. .
Contact Bmail
Address �
Permlt Type Residential Singie Femily Residential Duplex Coaimercial Multifamily Tndustrial
Cabigory New Addition Alteratioa
Project �.
: Deecrip�Jov
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Me�haeicAl Scparate penaits will be obtained for the followfr►g:
Permil� Electrical by Piumbing by Heating by
Valae of rob S r�� ^�j.�� �y�ue ibr meceriele&tebor ia eeq,to cnsura aonsiateaey in aooessln�permtt fees Por ell applicsala)
Payment by: Check # Cash ermit Fee Account � �
I cert jfy fhe above Ddjo►madon la ocn�plelc and aawule. A,q�devlaltonr fiom 1he abov�s eubmlasd�or�nal�on may nsquire uddiuona!permlrs
la b o �t 1 t Autd AgrBe!o lheae lam.r.
Namc: � (please princ) Dato; ��- ��!- �
Signature: