HomeMy WebLinkAbout1983-Electric (change service)
(t
-
Lot
PERMIT - APPoLICATION AND RECORD
5 ~ '7 ~ OUt;.. If::t/.
CITY OF OSHKOSH
- Owner ~
Subdivision
o~
N~
11771
Address
Ward
Block
Type of Permit:
Building 0
Sign 0
Plumbing 0
Nature of Work
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin -- Garbage Disp. - S. Sink
Water Closet - Dish Washe' - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
HEATING CONTRACTOR
Fuel: Gas D' Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 H.W. 0 Elec. Base 0 Steam 0 Radiant 0
System Gravity 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0
Calculated Heat Loss ~Systew §lU Rating
Temp.
{~ It!'.::> Amps
/' Circ's
Electrical Signs
BUILDING Use
Id. No.
Flood Plain
Permit Date / -3 - ð" ~
~
Zoning
Insp.
Wrecking 0
Occupancy Permit "žL£::
General
Roof
Siding
Type of Construction
Foundation
Size:
.feet long
Square feet area
_feet wide X
Height:
feet above Grade
Stories and Basement
Width olLot
No. of Rooms
l
Mason
Carpenter
Architect
----It.
----It.
Inspections -
Foundation
Footing
~ I Electric, Service
t Sewer
c:
Rt.
Water Service
1~ð-1S3
Date L- J-37
Estimated Cost 'fP / J ¿;/------ Fees Paid
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 olthe Municipal Code olthe City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
live feet in height shall be erected all around such excavation. Such barrier, wallar wire fence will remain in pos~ion until removal is approved by the
Building Inspector.
OtIJ
In the performance of this work the undersigned agrees to abide by and do work pursuant to aU statutes, ordinances,
codes, and rules governing the described c°!1struction.
(Signed) ~~ ß æ-.c.---è..--,-
Address / S- 2.- L () eð'-'
.owner
Phone22 S- '7t-,/r!
By
Agent
(A~hori"d Sigo"""1
Address
Phone
AFFIDAVIT RELATING TO SECTION 13.12 (c) OF A GENERAL ORDINANCE
OF THE CITY OF OSHKOSH RELATING TO TEE LICENSING OF ELECTRICIANS
AND PROVIDING PENALTIES
STATE OF WISCONSIN)
. ) SS
WINNEBAGO COUNTY)
Jð!-ì tV (3ftlt:rz-
(Name
/5'2"2 ûhe;:- b (}'¡,J
(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 h1"s immediate
family.
Dated this
J
day of
...)A hJ
Subscribed and sworn to before' ~J.u "
this ~"'1 Z ~:tl. ,l~.
Notary Public, Winnebago County, Wisconsin
My Commission Expires: Õ /;0 ~l'
f7J aA ~/1 ¡
, 19 83.
.
ELEC. CONTR.
PERMIT NO.
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OWNER ~~-?
ADDRESS J- ~? - ¡J ¥ ..::t:¡:(
NATURE OF WORK . (' '~. ~'--:'. ~
ELEC. SERVo NEW CHÀNGE TEMP.
DESC. TYPEJ- ð v 3-U-~HVOLTS ¡ "'-""'" AMP2'ðO
~~~~~ANCES S~~~ ~'S CIRC'S Þ):
r~ -
PE~~~~I~~r~/~ !2l'l~N~~
§IGNS
INSP. ROUGHIN
EST. COST .,:f"/.FC:> '" 0'
REMARK'L,
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