HomeMy WebLinkAbout00009523-Electric (service change)
PERMIT - APPLICATION AND RECORD
Address 5, } ð - 6~~-
Block Ward
Plumbing 0
CITY OF OSHKO~ ~ ~ c;;-
- Owner
Subdivision
(t)
---
Lot-
Type of Permit:
Building 0
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 Was he' ~ 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 Eiec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System Gravity 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New. cha;les ~
Description-Type .3 - ø .~ ?I' - .3 a H Volts
Fixtures Switches Recep's
Appliances
Temp.
Electrical Signs
N~
9523
Zoning
Insp.~
Id. No.
Flood Plain
Permit Date '3 -,/ (}.-g'::2...
Wrecking 0 Occupancy Permit ~
BUILDING Use ~~/
General
Roof
Siding
Type of Construction
Foundation
Size:
~ feet wide X
feet long
Square feet area
Height:
Stories and Basement
feet above Grade
Width olLot
No. of Rooms
1
Mason
Carpenter
Architect
------1t.
1
I
R.I.
Inspections -
Footing
------1t.
Foundation
:§ I Electric Service
4
7" r' C' "" ff.-, /1J 0 V MAR 9 1982
Estimated CostV' cPO - Fees "Paid ,.-..... L/, f.? Date .
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 olthe Municipal Code olthe City 01 Oshkosh. it is agreed that if wort< shall be
discontinued lor a period 01 30 days at anytime for any cause after excavation work is commenced, a solid barrier. wall, or wire fence nof lessfhan
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. )(
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) Owner
~ ~~ ¿ ,"000
By C; y ~ -- Agent
I d ",I
I ddress Phone
PERMI'¡: No.9,?--.:3 APPL. DATE 2.-:2.3 - c¡r::z
ELEC. CONTR. ~ éY~ .""
OWNER ê.' ~ &-
~~~~~J~ W?;~ ô {j-:~ .,
ELEC. 'SERV~ NEW' CHANGE-
DESC. TYPE tV ol't VOLTS 1"-
FIX'S SW'S RECEPT'
APPLIANCES
. ~~ -~~~~~~'-~-'.
TEMP.
AMPS;;>.Pò
CIRC'S
SIGNS
INSP. ROUG
EST. COST
REMARKS
CJC1..:!£.,
SERVICEt -
PERMIT FEE
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