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Permit #16948 <br /> Wisconsin Department of Industry, WISCONSIN ADMINISTRATIVE Safety and Buildings Division <br /> Labor and Human Relations BUILDING PERMIT APPLICATION <br /> (Wis.Stats- 101.63(7)& 101.65(3)) <br /> Submit to non-enforcing municipalities for new 1-and 2-family dwellings <br /> SEE INSTRUCTIONS ON BACK OF YELLOW COPY. <br /> .......... <br /> . ......... <br /> ... .I ...... ........... <br /> .... ... .. <br /> Last Name First Name Middle Initial <br /> Km e4/ <br /> Street Address <br /> 1,,2 r7r7 f 3f-d st <br /> City State Zip Code Telephone No (include area code) <br /> 1°te/ . I <br /> ............. <br /> Building Address Subdivision Name Lot# Block# <br /> Legadlazu River Oaks Parcel I No. 15 <br /> uascription <br /> 1/4, —1/4, Section 7 T 40 N, R 16W E or W 20-9155-02-500 <br /> U. <br /> 1 Family LJ Forced Air Furnace Dg Radiant Baseboard or Panel(Elec.) E] Heat Pump <br /> n 2 Family E] Boiler E] Central AC C] Other: <br /> 3. !PROJECT ENER+GYStiL1RGE Nat.Gas L.P. Oil Elect. Solid Solar <br /> Space Heating El El 13 0 <br /> Water Heating Cl <br /> .......... <br /> P <br /> 95ite Constructed C] Concrete Cg Masonry ❑ Treated Wood <br /> C] Manufactured 0 Other: <br /> PRQJEC"f AREA <br /> . <br /> ...... <br /> .. <br /> .. <br /> � cr <br /> !%T!q T, <br /> .. <br /> dqy.... ......... <br /> Livina area = 70 Souare Feet <br /> 1 present that all the above information is correct, and understand that the issuance of this permit is for <br /> administrative purposes only. Onsite construction inspections will not and shall not be performed by the <br /> municipality which has not assumed jurisdiction per s. 101.65, Wis. Stats. I understand the Uniform Dwelling <br /> Code,Chapters ILHR 20-25,still applies to all new 1-and 2-family dwellings and must be complied with. Irealize <br /> the issuance of this permit does not relieve me of compliance with other applicable codes and ordinances. <br /> Applica�Ws Signature Date Signed <br /> MUST BE COMPLETED BEFORE SUBMITTING TO DILHR: <br /> ................ <br /> Town E] Village ❑ City ❑ County of: <br /> Oakland <br /> Where Dwellinj. <br /> zMUNICIPAPTY MRE-R* # 0 7 Located PEEr <br /> None <br /> PERMCf ISSUED BY. DATE ,� <br /> Zoning Office JSWEP: 5/21/93 <br /> SBD-8254(R. 02/90) White-Issuing Jurisdiction Pink-DILHR Within 30 Days Yellow-Applicant <br />