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HomeMy WebLinkAbout0015163-Electric (service change)PERMIT - APPLICATION AND RECORD Address -� �� Owner Ward Subdivision _ Heating ❑ Plumbing ❑ Sign ❑ CITY OF OSHKOSH Lot Type of Permit: Building ❑ Nature of Work e Electric 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 ❑ N _ 1 516 3 Id. No. Zoning Flood Plain Wrecking ❑ Occupancy Permit /4 4 Insp. T Permit Date la -f'4"e- BUILDING Use General Cont. - Roof Foundation Size: Height: feet wide X feet long Stories and Basement Width of Lot I Siding Type of Construction Square feet area 0 a 0 v Q above Grade No. of Rooms Mason Carpenter Architect Inspections - Footing Foundation Electric Service R.I. Sewer Water Service Final System High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ / - Estimated Cost © Fees Paid t� Date Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E.I. ❑ p 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 Calculated Heat Loss System BTU Rating 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 _-n I — n --+ five feet in hei ht h II b ELECTRIC CONTRACTOR Electric Service: New Changes Description -Type 3 - A `°lt `° -- Volts Fixtures Switches Recep's Appliances Electrical Signs f g s a e erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the Building Inspector. X Te In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances, Temp. Amps '/ 00 codes, and rules governing the described construction. (Signed) Circ's g Owner Address Phone By (Authorized Signature) Agent Address Phnno