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PERMIi — APPLICQ+TIOfV AND 13E�ORD CITY OF OSWKOSH
Address -��� ����'� /'�� Owner � ��� ������-
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Type of Permit: Building"�
BUIL.DING Use
lock Ward Subd ivision
Electrical ❑ Heating ❑ Plumbing ❑ Sign ❑
General Cont. _( :,�( �-�-�P�--
Roof � Siding T `�"
Foundation � Type of Construction �
,
Size: -�� feet wide X �" � feet long Square feet area ���
Height: � Stories and �ase�etit
Width of Lot ���
�`�,�
\ L f� �
��
�t.
�� feet above Grade
No. of Rooms
Mason
Carpenter
Architect —
Inspections -
Footing Foundation
Electric Service R.I.
Sewer Water Service
Final ,�/ (7%`� %
q,� 7� !
Estimated Cost ���a� Fees Paid-i� �``s✓ Date ��^��
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 discontin ued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, or wire
fence not less than five feet in height shall be erected all around such excavation. Such barrier, wall orwire fence will remain in position
until removal is approved by the Building Inspector. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes,
ordinances, codes, and rules governing the described construction.
(Signed) L' ���� �_,�.ri /�L -�u-'� Owner
Add ress �/� �C��"'f � U'�' .
Occupancy Perm
ature of Work �y -��� � i
�' .[�J�. r� �n��u�l 1 �.�C�u .� "�/C..'�f's� /�t
%� b[? �/ s = Z.>l "' � �'/
PLIJNiBINC� CONTR�►CTOR
Bu. San. Sewer Curb to Bu. M
Bu. St. Sewer Curb to Bu. M
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
Urinal
S. Sink
Catch Basin —
S. Pump
B&SWaste—
Conductors —
Tota
HE,4TING CONTRACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid [
Conditioning Forced Air ❑ H.W. ❑ Elec. Base C
System Gravity ❑ Supplementary ❑ Air Cc
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. B
Calculated Heat Loss System BTl
ELECTRiC COIVTRACTOR
Electric Service: New —
Description-Type
Fixtures
Appliances
By Agentl
(Authorized Signature) Signs
Ad d ress
Changes
Switches
_ Volts
Recep':