HomeMy WebLinkAbout0011655-Electric (service change)PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH
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Address
Lot Block
Type of Permit: Building ❑ Electrical Heating ❑
Nature of Work
PLUMBING CONTRACTOR
Bu. San. Sewer Curb to Bu.
Bu. St. Sewer Curb to Bu.
Water Service
Bath Tub
Wash Basin
Water Closet
Kit. Sink
Water Heater _
Shower Bath _
Plumbing Fees
Floor Drain
Garbage Disp.
Dish Washer _
Laundry Mach.
Water Soft.
Bubbler
Owner
Jard Subdivision
Plumbing ❑ Sign ❑
Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Conductors
Total Fees
Sewer Fees
HEATING CONTRACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H. W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑
System Gravity ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR -
Electric Service: New Changes Temp.
Description -Type 2 —,,3,r &- -- �_- 'e,'AVolts Amps 1470
Fixtures Switches Recep's —— Circ's
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Electrical Signs
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Wrecking ❑ Occupancy Permit Insp.:
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height:
feet wide X feet long
Stories and Basement
Width of Lot
ft. ft.
�1
Siding
Type of Construction _
Square feet area
a°
0
v
0
No. of Rooms
Mason
Carpenter
Architect
N°_ 11655
Id. No.
Flood Plain
Permit Date. -�
above Grade
Inspections -
Footing Foundation
Electric —
Electric Service�JJVR.l. _-
Sewer Water Service _
Final Z f - / Y_ eF
Estimated Cost � ��� Fees Paid Date
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 any time 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
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) Owner
Address _ ' Phone
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By r ` 4 'i °- �% Agent
( horized Signature) Zxl
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