HomeMy WebLinkAbout0023926-Electric
~
OSHKOSH
Lot
PERMIT - APPLICATION AND RECORD
9 <¡ íJ- ~:: ~ard-
\ .
Building 0 Electrical
CITY OF O~OSH -
- Owner ~ -&k
Subdivision Zoning~ Parkland Dedication Fee
Heating 0 Plumbing 0 Sign 0 Wrecking 0 Fence 0 PoolO Occupancy Permit Required
Address
Type of Permit:
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 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.!. 0
Calculated Heat Loss System BTU Rating
Electric Service: New
Description-Type -
Fixtures e><
Appliances
Temp.
I :J-)Y"2'iO AmpslZt9
/~Circ's~
ELECTRIC CONTRACTOR -
~
?-IA.-
Volts
Recep's
Switches
~
Electrical Signs
N~
23926
Height ~~t-
Insp. /' J!I..-2--
Id. No.
Flood Plain
Permit Date.£' -16 -"ðÞ
BUILDING Use
ú-~
General
Siding
Type of Construction
Foundation
Size:
_feet wide X
Square feet area
feet long
Height:
Stories and Basement
.feet above Grade
Width olLot
No. of Rooms
l
Mason
Carpenter
Architect
I-~t
--,-----it
Inspections -
Foundation
Footing
R.!.
3 Electric Service
"'1 I i Sewer Water Service
I I "Final q-J-;?ç,
1> f' ~/
Estimated Cost 1/ ð (5 Fees Paid / 3c> Date
,r;- -I 6 - 'iT ~
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 of30 days at anytime 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 orwire fence will remain in position until removal is approved by the
Building Inspector. X
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.
(Signed)
By
Address
Phone
Agent
Phone
PERMIT NO.
,APPL. DATE ;'/-/6.-:8 b
~
~-4
ELEC. CONTR.
OWNER
ADDRESS ~y- 97íT
NATURE OF WORK --?~ ¿;
ELEC. SERVo NEW tÝ5
DESC. TYPE' - U---
FIX'S ""( SW'S
APPLIANCES'
~,
¡-,2,-}.cf-- -{;,
TEMP.
AMPS60C?
CIRC'S5
SIGNS
INSP. ROUGHI
EST. COST
REMARKS
i - -';?- - c SERVIC
PC7 ::::.----- PERMIT FEE
[
.6-)'2; FINAL
, :<;?";;:--DATE PD
-/6 7:!~
-~._--