HomeMy WebLinkAbout0106216-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
106216
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
3885 SHOREBIRD CT
Owner
ANDREW L/MARGAR PERRIE
Create Date 01/14/2004
Contractor
ELECTRICAL CONTRACTING SPECIALI~
Category 611 - Residential-New Single Family Wiring
Plan
Service
10 New
120/240
0 Change
0 Temp
Volts
Circuits
Type
0
In Overhead
. Underground
Fixtures
0
Amps
200
Switches
0
Receptacles
0
Appliances
Use/Nature of NSFR/ New single family house wiring
Work
Fees: Valuation
$6,700.00
Plan Approval
$0.00
Permit Fee Paid
$292.00
Issued By:
Date 01/28/2004
U Permit Voided I
Parcelld # 1281350000
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.
Signature
Date
Agent/Owner
Address
8196 GALAXY DR
NEENAH
WI 54956 - 0
Telephone Number
920-836-2032
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 OfHKO.IH
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 participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
DATE / Z 7 /ty
JOB ADDRESS A r x ` ./164-54-4- 3 fr g.
OWNER
CONTRACTOR , ,.. ,,
CHECK 13 ALL APPLICABLE `1
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE plNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable (,BUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Z o / Z_1° Receptacles # Circuits #
Phase /
Amps z z Switches # Fixtures #
CHECK Bl ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Alter /167.5-4
•
VALUE (Including labor and all materials including light fixtures) $ � j "' 0 &
MASTER ELECTRICIAN /tEc--L fry
3/02