HomeMy WebLinkAbout0011093 Electric (Remodel)PERMIT - APPLICATION AND RECORD
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r� Ad�ress
Lot Rlock Ward
Type of Permit: Building ❑ Electrica� Heating ❑ Plumbing ❑
Nature of Work
PLUMBING CONTFiACTOR
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 O�HKO
Owner
Subdivision _
Sign ❑
Sewer Fees
HEATING CONTRACTOR
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 CONYRACTOR �•���� C'�E�� �.a
Electric Service: New Changes Temp.
Description-Type Volts Amps
Fixtures � Switches � Recep's �— Circ's �
Annlianroc
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�� Zoning
Wrecking ❑ Occupancy Permit °�'ICI� Insps
BUILDIYVG Use
General Cont. —
Roof
Foundation
Size:
Height:
Siding
Type of Construction
feet wide X feet long
Width of Lot
ft.
Stories and Basement
Square feet area
No. of Rooms
Mason
Carpenter _
Architect —
Inspections -
i�l ° 1 10 9 3
— Id. No.
Flood Plain
Permit Date /� S - �Z-
above Grade
Footing Foundation
Electric Service R.I. � � � ' � �
Sewer.
Final—
Water Service —
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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)
Address
By
Phone
Electrical Signs
rlrirPSG Phnna
Agent