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0104890-Building (pool deck)
City of Oshkosh Inspection Services Division P O Box t 130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ©dHKOdH Building Permit Application o. TH~ W^TER [f ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account [~ · -.. t CONTRACTOR ~f~'~fCx,~ "~, ~:Xr'~ed/~}¢~" V I am the: [] Owner OR ~Contractor USE CATEGORY ~SingleFamily []Duplex []Multi-Family []Rental []Commercial []Industrial Work being done: E Addition [2 External Remodeling [2 Handicap Ramp [] Sign/Canopy/Awning [] Swimming Pool 15 Other ~Deck/Porch/Patio [] Fence/Hedge?Kennel [2 Hot Tub/Spa [2 Stair/Handrail [] Wrecking Permit [] Driveway/Parking [] Garage/Utility Structure [2 Internal Remodeling [] Stove/Fireplace Additional information, such as plan submittal and approval, may be required before issuance. Fliers, located in the hallway, may be referenced to note if any additional information is necessary. · . . .. *~, Full desert t~on of work being done. C~r~,~ ~ ~o e ~ ' ~ P ,~ ! Value of the job $ applicants.) Any work not included in this application is not permitted. I {~ ~ (Value for material~ and labor is required to ensure consistency in accessing permit fees for all PLEASE READ, SIGN, & DATE: I certify the above information is complete and accurate. Any deviatio, ns~r~n the abo~ve submitted information may require additional permits to be obtained. I ackn~ff'g/~.an~dja~to t;se terms. Name' _/7d ~ ~ Date: tdz los 3/02