HomeMy WebLinkAbout0019864-Electric (service upgrade)
~ PERMIT - APPLICATION A~D RECORD CITY OF OSHKOSH. . . ~. . ~,' N~ 19864
OSHKOSH Address I;::¿ ¿¡r L¡ / ~ j"q: 4?'f. Owner ~ L ~ ~ Id. No.
Lot Block - Ward- Subdivision Zoning~ Parkland Dedication Fee Height ~ Flood Piain-
Type of Permit: Building D Electrical~ Heatinç¡ n Plumbing D Sign D Wrecking D Fence D Pool D Occupancy Permit Required /y\.¿;~ Insp. :J;2 u'- Permit Date ;) -/ -g 5
Nature of Work
BUILDING Use
Generai Cont.
Foundation
Siding
Type of Construction
PLUMBING CONTRACTOR
Bu. San. Sewer ~ Curb to Bu.
Bu. St. Sewer Curb to Bu.
Size:
~feetwide X
feet long
Square feet area
Main to Curb:
Main to Curb
Height:
Stories and Basement
above Grade
W;dth ofLot
No. of Rooms
Sewer Fees
Î
Mason
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
I ft.
I
'-
Architect
'------Ít
1
1
-----Ít -I
Inspections -
Footing
Foundation
Eiectric Service
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 Ventiiation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Can. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System E}JU Rating
'-""-A cý Z;
Estimated Cost )0/5 :7 ./ v .- Fees Paid
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 01 the Municipal Code ofthe City 01 Oshkosh, it is agreed that ilwork shall be
discontinued for a period of30 days at anytime for any cause after excavation work is commenced, a solid barrier, wall, orwire lence 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 Inspeclor
Sewer
R.I.
ELECTRIC CONTRACTOR
Electric Service: New . Changes ~ Temp.
Descriptlån-Type :J. - 30? )- ./éJO '-O6'-volts U~£fC) Am psß2. °
Fixtures Switches Recep's ,- Circ's'
Appliances
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) 'r fP ~ Owner
Address W fir ø I Z2K :p--e Phoneb< j/- 7 t? /' ()
By
(A"tho""d Slgo,,",,)
Agent
Electricai Signs
Address
Phone
AFFIDAVIT RELATING TO SECTION 13.12 (c) OF A GENERAL ORDINANCE
OF THE CITY OF OSHKOSH RELATING TO THE LICENSING OF ELECTRICIANS
AND PROVIDING PENALTIES
., STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
<-M#E1 £ 5~//A(T
Name )
If} g- ¿lJ /y!2!' 1/é.
(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 his immediate
family.
@1');l. .' 19¿r
. " " é#Jef
Subscribed and sworn to before
t~~f' ~~~ ,,-Sf--
Notary Public, Winnebago County, Wisconsin
My Commission Expires: MY CCMW!1SStON EXPIRES JUNE 7,1987
Dated this
~j-
~
1
PER~1!T NO. ) l' g b 'I APPL. DATE F ~ / ~ g S
ELEC. CONTR. ~~~
OWNER y~~ . ~27'--
ADDRESS /2'j{ - ù./~ / If~/
NATURE OF WORK'
ELEC. SERVo
DESC. TYP
FIX'S
APPLIANCE:';
NEW
)
SW'S
-4..,-
CHANGE TEMP.
VOLTS ;2Q ~ ¥'CI AMPS'/ ð 0
RECEPT'S CIRC'S
SIGNS <~:
INSP. ROUGHIN
EST. COST? -----
REMARKS