HomeMy WebLinkAbout0013420 Electric (Replacement)ciTv or
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PERMIT - APPLICQ►TION AND RECORD
Lot B
Type of Permit: Building ❑
Nature of Work
—
W ard
Electrical � Heating ❑ Plumbing ❑
PLUM�ING CONTRe4CTOR
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 W aste
Conductors
Total Fees
CITY OF OSHKOSH _
Owner
Subdivision _
Sign ❑
Sewer Fees
HEQ►TIfdG 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.I. ❑
Calculated Heat Loss System BTU Rating
ELECTFiIC CONTRACTOR
Electric Service: New Chang s
Description-Type Volts
Fixtures Switches Recep's
Appliances
, Electrical Sinns
— Temp. "
Amps—
Circ's
,
�° 13420
— Id. No.
" Zoning Flood Plain
Wrecking ❑ Occupancy Permit �— Insp. � Permit Date '— 9
BUILDING Use �`��
General Cont.
Roof
Foundation
Size: feet wide X feet long
Height: Stories and Basement
Width of Lot
Siding
Type of Construction .
Square feet area
No. of Rooms—
Mason
Carpenter
Architect �
Inspections -
a°
0
�
a
Q
feet above Grade
Footing Foundation
Electric Service ��R.I.
Sewer Water Service _
Final —� o � �
c�� o o ^% _i9 �,�'
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 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) Owner
Address /�� .� •? Phone
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