HomeMy WebLinkAbout0002537-Electric (service; rewire)
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Address
PERMIT - APPLICATION AND RECORD"
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CITY OF OSHKOSH
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Owner
Subdivision
...........
Lot -
Type of Permit:
Block
Building 0 Electrical ~
Ward
Heating 0 Plumbing 0
N~
2537
Id. No.
Wrecking 0
Sign 0
BUILDING Use /~r ..h~.¡ :<:¿¡ ./1 R-1~ ~~
Generai ConI. 1
Roof
Siding
Type of Construction
Foundation
Size: - feet wide X
feet long
Square feet area
Height:
Stories and Basement
feet above Grade
Width of Lot
No. of Rooms
1
Carpenter
Architect
I ft.
1- I
---_ft.
I
1
Inspections -
~t.-
Footing
Foundation
Electric Service
R.I.
,3
l
i I Sewer
0 Final
~ e:iJ.-. V Vi
Estimated Cost "';;/~-o - Fees Paid '9. D't! Date OCT 1 R 1~79
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 of 30 days at anytime for any cause after excavation work is commenced. a solid barrier, wall. orwlre
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.
i
In the perforl
ordinances,
(Signed)
Owner
By
Occupancy Permit
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 OilD Elec.D Solar 0 Solid 0
Conditioning Forced Air 0 Hw.D Elec. Base 0 Steam 0
System Gravity 0 Supplementary 0 Air Condo 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR é-v()~
Electric Service: New Changes ~ Temp.
Description-Type ,o/~r~ 6-rJ.<'.du<,.,,( Volts /.:f..i.. - .2 ""ð Amp~
Fixtures 0:1..-(.7' . . Switc~es ø- Recep's ,/ ð circ's-1:/...~
Appliances r/c. ,,-:I t:'L:::t'1( " .~ .
{A"th"'"dS',,,,"'"
Agent, Signs
Address
AFFIDAVIT RELATING TO SECTION 1).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)
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J;N'ame )
~
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(Address)
first being duly sworn on oath, deposes and says that he is not
a licensed eiectrician 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 o~med 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.
Dated this '~/I?'
,
L~~# p~'
'/' I ,<
Subscribed and sworn to before
this /¿ day of ~, 19/.9.
!'~ /;7 ~
dayof'~
.' 19Z7!..
Notary Public, Winnebago County, ì<l1,sconsin
1,1y Commission Explre~
My Commission Expires: Mmch 7,1982 I