HomeMy WebLinkAbout0014844-Electric (receptacles)
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PERMIT - APPLICATION AND RECORD
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CITY OF OSHKO~~ ~ ~
- Owner ~
Subdivision
N~ 14844
Id. No.
Zoning Flood Plain
Insp. ~,permit Date /2 -1-F3
Ward
Block
Lot
Type of Permit:
~
Electricai
Wrecking D
Sign D
Occupancy Permit
Building D
~
BUILDING Use
Nature of Work
General
Siding
Type of Construction
Roof
Foundation
Square feet area
Size:
_feet wide X
feet long
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
feet above Grade
Main to Curb:
Main to Curb
Height:
Stories and Basement
No. of Rooms
width of Lot
Mason
Sewer Fees
I
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
Carpenter
Architect
I
Inspections -
----'I
----'I
Foundation
Footing
.ลก I Electric Service
R.I.
l
HEATING CONTRACTOR
Fuel: Gas D Oil DElee. D Solar D Solid D
Conditioning Forced Air D HW. DElee. Base D Steam D Radiant D
System High Elf. D Supplementary D Air Condo D Ventilation D
Chimney: "A" D "B" D Direct Vent D Can. Burner D Flue Damper & E.!. D
Calculated Heat Loss System BTU Rating
Estimated Cost 'ff /'¿7¿J ¿!:.--- Fees Paid ¿1' 7', 6'0 V Date /;¿ -/ - ¿¡ J
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
discontinued for a period of30days at any time for any cause after excavation work is commenced. a solid barrier. wall, orwire 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.
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
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.
Temp.
Volts ~ Amps
Recep's ~ Circ's
(Signed)
Switches
Phone
By
Address
Agent
Electrical Signs
Phone
PERMIT NO. J.J-! ¿{ 1-/ r APPL. DATE / / --/¿J ~g3
'LEC. C"T~. ~ ~.
OWNER 6J. . V-~
/ ~?~~ -
CHANGE
VOLTS
RECEPT' S ~
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE
FIX'S
APPLIANCES
. TEMP.
AMPS
CIRC'S
SIGNS
INSP. ROUGHIN
EXT. COST /¿J!o5!;::;--
REMARKS
SERVICE
PERMIT FE
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