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HomeMy WebLinkAbout0106076-Electric (bath remodel)CITY OF OSHKOSH 106076 No OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job AddressOwnerCreate Date01/15/2004 839 OSBORN AVESUSAN E BABLER ContractorLARK ELECTRICCategory612 - Residential-Single Family Addition/RemodelPlan ServiceTypeOverheadUnderground NewChangeTemp Volts120/Circuits1Fixtures2 Amps20Switches2Receptacles3 Appliances Use/Nature of SFR/ Remodel bath and hall. Work Plan Approval$0.00 Fees: Valuation$500.00Permit Fee Paid$20.00 Issued By:Date01/15/2004 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 PO BOX 3206OSHKOSHWI549033206920-231-8625 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. ---4 -- --- ~~• -...r vsnKVSn inspect=cns 920-236-5084 p, i Gary of Oshlaash Division of Inspection Services F.O. Baas 1130 ©shloosh, WI 54903-1130 Ph~e (420)236-SQSO Fax (920) 235-5084 + ~ ~~ ELECTRIGAL PERMIT APPL.IGAT'ION "~ ~~a~~ix lncomp~e ~ avill nmot be ~ .,l A, r' ' Appliration~s) and fee(s) can be brought to City Ha11, R~aom 205 oar mailed to ~ ; l~c~l , Oslilcosh WI 54903-1 I28. Comnneneing work witlyout permi#as) will result in Bees b ~t>~~~~~lQ,~~" normal petmait fee, which evedr is greater. OR - I ou re a co t rti i r" i the P rm t con S stem n a e ad r ~fYOtJ tYQJit 2he~ »rn^essed ihrouvh your acs • her DATE /.~ ~~!~ ~ 7 3OB ADDRLtSS. ~~ ~ ~ _ ~S d o !2 sa.,( ow~vER Svc ~3A13 ~ ~~ cal~tzACroR ~R~ ~L~~TRIG c~cx a AFL AP>r~.ICA13L14 USE CA'~GORY ~Singie Faaa>rtily QDtagilex C1Multi Famiiy DRenxat ClComm~ncia~ ©Industrial SERVICE QNew [~Tempara:y TYPE d DNot Applicable ClChange E]Not Applicable k FILL IN THE APPROP~ttA,TE BLANK WITH TSE NUl VoHx ~z ~ ~-~ ~ o ~ SwitcLes # 2- • ~i[tures # Z- CHOCK H ALL APPLICABLE t7ltange - []Datshwesher OFan OR Blower C]Ftn~ce ~GaCrbage 1 C7Dt}-cr ©Water Heater ©Motors ©Gras Pumps C]Uthex' QEleaaic Sign DESCRIPT[ON OF ALL WORK BEIIVG DtfNE .'P~~o~D.EL .df/Th' ~~RG~ .~o o , 3/02 Q/ ~. .. 2