HomeMy WebLinkAbout0019189- Electric CITY OF OSHKOSH N° 19189
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECK PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Eei3 v `4L' PLAN NO.
OWNER 6t
DESIGNER
C
USE/NATURE OF WORK p
.3 -‘e / 3 -i00
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
•
. HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR �! I /
Electric Serv. New ElChange1'Temp Type Volt i AmpdOel
Pe-
Fixtures Switches Receptacles — Circuits X
PLUMBING CONTRACTOR
-BT WH Disp WSoft CBasin
Lay Sh ,DW DF San. Sewer
-WC FDr SP Ur Storm Sewer
-Sink LTub Eject SS Water
Other
a � v ''�' a-- -----'
, 4
FEES: Valuation $ 9 Permit Fee Paid $ .� Park Dedication /$,,
ISSUED BY /y� Date r-�� �/Final/O.P. b &-.90
0 f r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
EAC60 A ")-- i 0 .
NT/OWNER DA
ADDRESS S)° v ✓a"11 V -)-3 02-
TELHO E#
•
Whereas the City Electrical Ordinance prohibits
the installation of armored or unarmored cable in base-
ments and or garages, except where the ceiling or wall
surfaces are permanently covered with plaster or other
permanent surfacing material,ca-4.S `` (I-we) the (owner-owners)
of the property at ca-4.S V '•1 , Oshkosh,
Wisconsin herewith agree to keep the ceiling of the base-
ment and or the ceiling and walls of the garage perman-
ently covered or change the wiring to meet with the appro-
val of the Electrical Inspector. (I-we) further agree
that the permanent ceiling and wall covering will be
installed prior to occupancy of this property. In the
case of said building being already occupied (I-we)
agree to comply within 60 days of signing of this paper.
1,0D-Depyvvv\owv1/
Signed
410
Witness i/A, / _ice✓ ___
Date .—
7
AFFIDAVIT RELATING TO SECTION 13.12 (c ) OF A GENERAL ORDINANCE
OF THE CITY OF OSHKOSH RELATING TO THE LICENSING OF ELECTRICIANS
AND PROVIDING PENALTIES
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY )
.979-r--)9 ��r�fs � ?�3 )
(Name ) (Address )
first being duly sworn on oath, deposes and says that he is not
a licensed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
residence and/or auxiliary buildings (intended solely for pur-
poses associated with a residence) which is owned and occupied
by him, or is being constructed in his name , as his personal
home and that said residence or auxiliary buildings being so
wired are not to be used or erected for rental purposes or for
resale to present or prospective purchasers.
Affiant understands that the electrical work authorized by
the permit applied for in connection with this affidavit , must
be done only by this affiant and that he cannot employ others to
assist with the electrical work but members of his immediate
family.
Dated this )_ ti , day of J , 19,
1,400•VriglAllirY\
Subscribed and sworn to before
this day .f Y.-eL , 1911_.
//
NotaryWinnebago County, Wisconsin
My Commission Expires: '7 ln,
a
PERMIT NO. / `' o APP DATE V
• 0.7/
�
ELEC. CONTR.
OWNER 4--e--- p
dtt---777
ADDRE S I- - .0 -0.9
NATURE OF WORK
ELEC. SERV. NEW CHANGE, TEMP.
DESC. TYPE 3-40 , - )w -O, VOLTS /1 -41 O AMPS/o V
FIX' S SW' S RECEP S CIRC'S
APPLIANCES ,4-144
SIGNS ( e
INSP. ROUGHIN SERVI CDC/'C--&1
�1L) F INALcr-t``>D
EST. COST 5--D r------ PERMIT PEE-2--0`.=, DATE PD -.22--Y.6
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