HomeMy WebLinkAbout0016452-Electric (add receptacles)
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QSHKOSH
Lot
PERMIT - APPLICATION AND RECORD
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Block
CITY OF OSHKOSHp~ ý- ~
Owner
Address
Ward
Subdivision
Wrecking 0 Fence 0
Zoning
Occupancy Permit - /j¡ð'---
Sign 0
Pool 0
Type of Permit: Building 0
Nature of Work
BUILDING Use
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General Cont.
N~
16452
rd. No.
Height per~~lood Plain
Insp. Permit DateÆ-ol'-1Sl
Foundation
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Size:
feet long
-feet wide X
Main to Curb:
Main to Curb
Stories and Basement
Height:
Width of Lot
Sewer Fees
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1
Water Service
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - 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 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 H.W. 0 Elec. Base 0 Steam 0 Radiant 0
System High Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
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Estimated Cost (
Fees Paid
Siding
Type of Construction
Square feet area
above Grade
No. of
Mason
Carpenter
Architect
Inspections -
Footing
Foundation
Electric Service
R.I.
Sewer
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code ofthe City ofOshkosh, it is agreed that if work shall be
discontinued for a period of 30 days af 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 orwire fence will remain in position until removal is approved by the
Building Inspector.
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
(Signed)
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
Volts
Recep's
Switches
Electrical Signs
Address
By ,¿,¿
Address
Owner
Phone
Agent
Phone
PERMIT NO.) /; '-(5 2- APPL. DATE 'f -u ~gy
ELEC. CONTR. ~~a~ -
OWNER f?~4~.
ADDRESS ¿I~-¿?~~
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW
CHANGE
VOLTS
RECEPT'S k....
TEMP.
AMPS
CIRC'S
SW'S
SIGNS
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REMARKS
FINAL 6-(-8'f
DATE PD.!b-l.gi
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