HomeMy WebLinkAbout0023925-Electric (temporary)
~
OSHKOSH
Lot
PERMIT - APPLICATION AND RECORD
9f!íJ-99? (!~
- Block - ard-
,
Building D Electrical
Address
CITY OF OSHKOSH
Owner
00<--/ G~~
N~
23925
Heig~
~ Insp.
Id. No.
Flood Plain-
Permit Date.j""'-/6-2T6
Subdivision Zoning~ Parkland Dedication Fee
Plumbing D Sign D Wrecking D Fence D Pool D Occupancy Permit Required
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
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
Sewer 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 Eft. 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
ELECTRIC CONTRACTOR
Electric Service: New-
Description-Type ---1- Lv ~
Fixtures~
Appliances
Changes
O?L-
Temp.
Volts f ::>-y=,-", 0
Recep's /' C><...
Switches
Electrical Signs
BUILDING Use
General Cont.
Siding
Type of Construction
Foundation
Size:
~feetwide X
feet long
Square feet area
Height:
Stories and Basement
feet above Grade
W;dth of Lot
No. of Rooms
l
Mason
Carpenter
Architect
I It
I
-
---'I.
l
I
---'1.-1
Inspections -
Footing Foundation
Electric Service tf-/¿,-ff6 R.I.
0
..,
'1 I i I Sewer Water Service
I D FinJiI tf - /6 -- í? 6
Estimated Cost p 5'6 Fees pal t/ E9- j Date ç -I 6 .- ~ ?:>
TO THE BUILDING INSPECTOR, In accordance with Section 7-18 01 the Municipal Code of the City of Oshkosh, it is agreed that ilwork shall be
discontinued for a period of 30 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 or wire fence will remain in position until removal is approved by the
uilding Inspector.
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)
Md"~~ ~
By .¿/~a . 'Ø),J,
(A~ "dSlgo"""1 /' 0'::
Address
Phone
Agent
Phone
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
SIGNS
INSP. ROUGHI
EST. COST
REMARKS
NEW
-U-~O
SW'S
CHANGE
VOLTS ¿
RECEPT'
w
,-~'
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-/b' -Fß.
TEMP.
AMPS - C
CIRC'S ~
-16- g-¥'
-lb-'6b