HomeMy WebLinkAbout0010436 Building (Bathroom)�� �PERMIT - APPLICi4TIOfV AND REGORD CITY OF OSHKOSH
r� Address J j � w -�� �- � Owner ����Z�p�-�-� , �
Lot Block Ward Subdivision
Type of Permit: Building� Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit
N r�re of Work
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PLl1MBING CONTRACTOR
.
Bu. San. Sewer Curb to Bu.
Bu. St. Sewer Curb to Bu.
Water Service
Bath Tub
Wash Basin _
Water Closet _
Kit. Sink
Water Heater _
Shower Bath _
Plumbing Fees
Floor Drain —
Garbage Disp.
Dish Washer _
Laundry Mach.
Water Soft. —
Bubbler
_.
Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Conductors
Total Fees
Sewer Fees
9iEATING CONTRACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System Gravity ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat Loss n System BTU Rating
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ELECTRIC CONTRQ►CTOR
Electric Service: New
Description-Type
Fixtures
Appliances
Electrical Signs
Switches
Changes
_ Volts
Recep's
Temp.
Am ps
Circ's —
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height: —
�
�
feet wide X feet long
Stories and Basement
Width of Lot
Zoning
_ Insp
�9° 1043b
_ Id. No.
Flood Plain ����
Permit Date - --• � 7�...�
-�
— Siding ,e -.-.
— Type of Construction
Square feet area
feet above Grade
No. of Rooms �
Mason
Carpenter o
Architect
0
a
0
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v
0
Inspections -
Footing Foundation _
Electric ,Service R.I. _
Sewer Water Service
Final e
�1� �1
Estimated Cost � Fees Paid �_�� -� Date �- �� �r� �-
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 after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wall orwire fance will remain in position until removal is approved by the
Building Inspector. X
In the performance of this the und �gn d agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules ning de ribed c truction.
(Signed) , � Owner
Address � Phone'��� -" Z �
a
, �
By (Authorized Signature) Agent
Address Phone