HomeMy WebLinkAbout0015322-ElectricCITY OF
PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH
Address __1 Owner
Lot Block Ward Subdivision
Type of Permit: Building ❑ Electricaix Heating ❑ Plumbing ❑ Sign ❑
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
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 High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E. 1. ❑
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New Changes Temp.
Description -Type ,9'? — r t" — L--' ' Volts 1,x%'2- � Am
Fixtures X_ Switches Recep's Circ's
Appliances It 42 __412
Electrical Signs
Wrecking ❑ Occupancy Permit
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height:
feet wide X feet long
Width of Lot
Stories and Basement
N_ 15322
Id. No.
Zoning Flood Plain
Insp. %� Permit Date ;3z�" --gr"'
Siding
Type of Construction
Square feet area
No. of Rooms —
Mason
Carpenter
Architect
0
a
0
0.
v
0
Inspections -
above Grade
Footing Foundation
Electric Service
Sewer Water Service
Final
Estimated Cost) / C;67 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, or wire 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. 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)
Address
By A
(Authorized Signature)
Aririracc
Phone
Phnno
ner
Agent