HomeMy WebLinkAbout2004-ElectricCITY OF OSHKOSH
106051
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date07/30/2003
1750 ROBIN AVEZangle & Shields LLC
ContractorD R E ELECTRICCategory631 - Residential-New Multi-Family WiringPlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts240 / 120Circuits112Fixtures90
Amps600Switches154Receptacles245
Range (8), Fan or Blower (16), Dishwasher (8), Furnace (1), Garbage Disposal (8), A/C (8), Dryer (8), Water Heater (8)
Appliances
Use/Nature of 8 Unit / Wiring of 8 family apartment building & 9-car garage.
Work
Plan Approval$0.00
Fees: Valuation$25,500.00Permit Fee Paid$262.00
Issued By:Date01/13/2004
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
W271 N4780 GREENHILL CTPEWAUKEEWI530720262-691-4061
Address-Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOJH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinz in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
•
DATE 1, 2 np
n � y
JOB ADDRESS 7$ 0 /C a , R U
OWNER
CONTRACTOR f I (9 F c f4
CHECK Et ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE IITNNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable AlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts , `l !J' / 1 7-6 Receptacles # k Y 5 Circuits # /1 2..
Phase 14i
Amps 600 Switches # /;j Fixtures # 90
CHECK ® ALL APPLICABLE
Range &) RDishwasher 4) 1$Garbage Disposal ($) IZlDr () I8]Water Heater (J>
Fan OR Blowei(16) IN ) L A/C (') ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE W I oQ 14 G i AfinJc� v /9"1
if) C-1I /4 ? CAt< C I < /
VALUE (Including labor and all materials including light fixtures) $ a 5T 5"OO. a!�
MASTER ELECTRICIAN .D 4>-cd f
3/02