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CITY OF OSHKOSH No
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
BRET SAALSAA
Job Address540 PEARL AVEOwnerCreate Date11/12/2003
DesignerBill MontelbanoContractorSTROOK CONSTRUCTION
Category223 - Alteration Offices, Banks, ProfessionalPlanJ5-120-1103
TypeBuildingSignCanopyFenceRaze
ZoningClass of Const:VBSize3400 Sq Ft
Sq. Ft.Projection
Unfinished/Basement0Rooms0Height0Ft.
Finished/Living
0Sq. Ft.Bedrooms0Stories1Canopies0
Garage0Sq. Ft.Baths0Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationNot Required# Dwelling Units0# Structures0
Business/3400 Sq Ft. Tenant space alterations for "Madison Tanning Company" as per State Transaction ID # 937979.
Use/Nature
of Work
HVAC ContractorPlumbing Contractor
Electric Contractor
Fees: Valuation$50,000.00Plan Approval$0.00Permit Fee Paid$185.00Park Dedication$0.00
11/12/200300/00/0000
Issued By:DateFinal/O.P.
Permit Voided
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.
SignatureDate
Agent/Owner
W9996 COUNTY RD TCWAUPUNWI539630000920-346-2269
Address-Telephone Number
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.