HomeMy WebLinkAbout0000783-Electric (service change 1977)�����`' ELECTRICAL INSPECTION DIVISION — C�ty of Oshko�h PERMIT
N° - 783
�,-�� . e PERMIT TO DO ELECTRICAL WORK
� Lot � Block � Addition
CITY ELECTRICAL INSPECTOR
Ward
Date 8-15-77
Permit to install wires and apparatus as listed herewith in the premises of
Robert C . Frank Owner
....................................................................................................................................xenter Occupied as..,.......,.......S�X#$�,�...F��l�.�.x...?�esidenc.e................. ........
.....
Number........17,19.....,..... Street.........Centr�1....5:��',�.�� ............................................................................................
.,.. Floor ........................................ Room........,.......................................
�ontractor ...........�?T1eT ...............................................................................................................Address .,...,...............,.....,.........,....,...,.........,.,...........,.................,.............,..................,...................,..
i New 'Iteplace� � New Replace- New iReplace• I () New Replace-
� ment ment ment ment
Fixtures
Switches
Receptacles
Circuits 4 2
Garbage Disposal
Dish Washer
Motors
Transfnrmers
3 r wire
am . 4
ewl Cir.
Fan or Blower
Unit Heaters
Furnace or Boiler
x i $i,�nge
P ' Water Heater
Dryer
Horse power
of each
Capacity
„ nf P�rh
Outdoor Sign
Indoor Sign
Service
Air Cottditioner
Electric Heating'
3/60 �to ��3/100 am�.
--
Void after
Temporary Work � Description Date ..................................................................
Val�ation of V4ork Described Herein Permit and Inspection F`ee Received �� Remarks No. o# Inspections and Dates '�
AUG 1 5 197�
$........4.O.Q.�..Q.Q .......................................... Date .,..................... Amount ....8....Q� � Final Inspection ........................................
This permit authorizes only work applied for herein. Other work must be covered by additional permits.
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........... .. . . .. ....... . .. ..... ... .. . .. . .. ... . .. .,.,....... .. ...,........ .... .... f�l,..,:..,. .... ..... . «»
Mast 1 c'cian or other Authorized terson """"' "' """"""" """"""""' ' '
4 Electx peCtor
AFFIDAVIT �IELATING TO SECTION 13.12
OF THE CITY OF OSHK�SH F?ELATING TO
AND PROVIDING PENALTIES
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY )
(c ) aF ,� GENERAL 08DINANCE
THE LICENSING OF ELECTRICIANS
o ��2 � , �1 (�,�i��l,�,A L- .�°T_
Name Ad�3re s s
first being duly sworn on oath, deposes and sa;ys that he is not
a�.icensed electrician in the City of Oshkosh ��nd that he has
applled for an electrical permit to do electri�:al �ork in a
residence and/or auxiliary buildings (intended solely for pur-
poses associated with a residence) which is or�T2�ed and occupied
by him, or is being constructed in his name, a:� his personal
home and that said residence or auxiliary builciings being so
wired are not to be used qr erected for rental purposes or for
resale to present or prospective purch�sers.
Affiant understands that the electrical wc>rk 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 e].ectrlcal work but members of his immediate
fanily.
Dated this �� day of (/�US'�
-�_._._ _�____, 39Z.
� ��
Subscribed and sworn to before
this /J day of
, 19 %.
Notary Publlc, Winnebago County, Wisconsin
My Commission Expires: ,���,�q
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