HomeMy WebLinkAbout0031150-Building (porch roof only) r
/� CITY OF OSHKOSH N° 31150
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT z
ADDRESS �� PLAN NO.
OWNER
DESIGNER �J�Q(�K GL�'�" /
USE/NATURE OF WORK � '�/'
. �
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BUILDING CONTRACTOR��17�'�
Size Sq. Ft. # Rooms # Stories �— Height
Foundation Class of Const.� Occupancy Permit�_
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
—BT _WH _Disp —WSoft —CBasin
—Lav —Sh _DW _DF _San. Sewer
_WC _FDr _SP —Ur _Storm Sewer
—Sink _LTub _Eject —SS —Water `
Other
FEES: Valuation $ ��`� � Permit Fee Paid $ ��V � Park Dedication $
ISSUED BY Date ld/ Z/'�1 � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE�
CITY OF OSHKOSH, CODE ENFORCEMENT DIVISION, 215 CHURCH AVENUE, OSHKOSH, WISCONSIN 54901
VIOL A TION/C ORREC TION NO TI CE
DATE INSPFCTED: ;� r= ' "`. �
OCCUPANCY INSPECTED
ADDRESS
OWIVERS NAME AND ADDRESS '
NOTICE DELIVERED/EXPLAINED T0:
cc:
TEM 4 ORDER FINDINGS OF INSPECTION
1 7-8 BUILDING WORK HAS COMMENCED PRIOR TO OBTAINING A
BUILDING PERMIT .
DEFICIENCIES MUST BE CORRECTED & APPROVED BEFORE CONCEALMENT.
CALL (414) 236-5050 FOR INSPECTION.
COMPLIr1NCE DATE: INSPECTOR: