HomeMy WebLinkAbout006574 Electric (Change Service)�� PERIVIIT — APPLICATION e4ND RECORD CITY OF OSHKOSH N° 6 5 7 4
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Lot Block Ward Subdivision Zoning � lood Plain
Type of Permit: Building ❑ Electrical I� Heating ❑ Plumbing ❑ Sign ❑ Wrecking ❑ Occupancy Permit �o- � Insp. �ermit Date �d P3 �
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Nature of Work �
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PLUNlBING COfdTR�►CTOFt '
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
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Main to Curb:
Main to Curb
Urinal
S. Sink
Catch Basin
S. Pump
B & S Waste
Co nd ucto rs
Total Fees
,
Sewer Fees
HEATING CONTRACTOR
Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑
Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑
System Gravity ❑ Supplementary ❑ Air Cond. ❑
Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑
Calculated Heat Loss System BTU Rating
ELECTRIC COI�lTRACTOR
Electric Service: New Changes � Temp.
Description-Type ��-+ *�— � ,�'�-� Volts�� � eh -���� Am
Fixtures Switches Recep's Circ's —
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Appliances � -- ��2-� `V��-(� � --'� ��� ��`'" -.,� �-- �
Signs
BUILDING Use
General Cont.
Roof
Foundation _
Size:
Height: _
feet wide X feet long
Width of Lot
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Stories anti Basement
nC.�2i� _O .•
Siding
Type of Construction
Sq uare feet area
No. of Rooms _
Mason
Carpenter
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° Final
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Estimated Cost -`7'�D � Fees Paid �� Date 2�.gA�
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 or wire 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.
Archite
Inspections -
feet above Grade
Footing Foundation
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Electric Service7C� R.I.
Sewer Water Service
(Signed)
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