HomeMy WebLinkAbout0011365- Electric (Change service) PERMIT — APPLICATION AND ECORD CITY OF OSHKOSH / IV_ 1 1 i 0 3
Address / �� `/ �'` Owner %� d>4 ' Id. No.
Lot Rlock Ward Subdivision �� Zoning �` Flood Plain
Type of Permit: Building ❑ Electricals Heating 111 Plumbing ❑ Sign Li Wrecking II] Occupancy Permit /,��' Insp.' �!' __ Permit Date 1/-5-g 7-
Nature of Work BUILDING Use ___,....4fi
General Cont.
Roof Siding
Foundation Type of Construction
Size: feet wide X feet long Square feet area
PLUMBING CONTRACTOR
Bu. San. Sewer Curb to Bu. Main to Curb: Height: Stories and Basement feet above Grade
Bu. St. Sewer Curb to Bu. Main to Curb
Width of Lot No. of Rooms
Sewer Fees 1 Mason
Water Service Carpenter
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. S. Sink 1 Architect
Water Closet Dish Washer Catch Basin
Kit. Sink Laundry Mach. S. Pump K �! ft.r*.
Inspections -
Water Heater Water Soft. B & S Waste K ft.» K ft...-
Shower Bath Bubbler Conductors Footing Foundation
Plumbing Fees Total Fees
1 / 1--/-g'-
a Electric Service
Ei
HEATING CONTRACTOR '1 a Sewer Water Service
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar CI Solid CI Q Final / / - 3 ✓ g
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ /
m �
System Gravity ❑ Supplementary ❑ Air Cond. ❑ Ventilation U Estimated Cost`/7� —� Fees Paid 02f�• 4"e' Date /1 —8 2-
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ 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
Calculated Heat Loss System BTU Rating discontinued 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 or wire fence will remain in position until removal is approved by the
Building Inspector. X
ELECTRIC CONTRACTOR /..4.4./a, ' if In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes,ordinances,
Electric Service: NewChanges x D Temp. 6 codes, and rules governing the described construction.
Description-Type 2 - 3 e' 3 — 0 /74 Volts l..,..;--2"--5:4/2) Ampspi
Fixtures Switches Recep's Circ's ,A„ (SlgrVd) Owner
Appliances
Address Phone
By 2-4...J-Leg ,i,,,r Agent
(Aut rued ignature)
-- icaI Signs ArlArocn Phnnn
r /
PERMIT NO. �/ �
// �, . APPL. DATE /�_
ELEC. CONTR.
OWNER 1
ADDRESS C,0/ —
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE"?- 3 d 3 - a m` VOLTS iy �o AMPS/o 0
FIX' S RECEPT'S CIRC'S -t
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINALE/_"
EST. COST PERMIT FEE ,(G' DATE PD
REMARKS