HomeMy WebLinkAbout008338 Electric (Change Service),��� PERMIT - APPLICATION /�ND RECORD CITY OF OSHKOSH
�I Address ��� ��-�� Owner a l 1�
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Lot Blocl< Ward Subdivision _
Type of Permit: Building ❑ Electrical � Heating ❑ Plumbing ❑ Sign ❑
Nature of Work
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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 Washe� .
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 CONTR�4CTOR
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 -2� ����!�ti�"-
Electric Service: New Changes �'� Temp.
Description-Type � � Volts �1--� ^% �� Amps
Fixtures Switches Recep's Circ's
Appliances
Electrical Signs
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Wrecking ❑ Occupancy Permit � , Insp
BUILDING Use
General Cont. —
Roof
Foundation
Size:
Height: —
feet wide X feet long
Width of Lot
ft.
Stories and Basement
,
Siding
Type of Construction _
Square feet area
N° 833�
— id. No.
Flood Plain
Permit Date '
above Grade
No. of Rooms
Mason
Carpenter
Architect
Inspections -
Footing Foundation
Electric Service R.I. _
Sewer Water Service
Fi
Estimated Cost :l `�� � Fees Paid �'� Date �UG 3 1 19�1
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 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)
Addre
By�
(Autl
Address
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Phone
Agent