HomeMy WebLinkAbout0106308-Electric � CITY OF OSHKOSH No �06. s
j OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD `��'�
ON THE WATER \ `�
Job Address 1920 NEBRASKA ST Owner SHIRLEY GUSE Create Date 02I03/2004
Contractor BELL ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Service New � Change 0 Temp Type � Ovefiead � Underground I
Volts 120/240 Circuits 1 Fixtures 0 :
Amps 0 Switches 1 Receptacles 3
Appliances FAN OR BLOWER
Use/Nature of FR/BATHROOM REMODEL
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: /y�L.O Date 02/03/2004
� Permit Voided I Parcel Id# 1400820100
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 1303 Midway Rd Menasha WI 54952 -0 Telephone Number 920-886-6589
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.
02/03/2004 00:57 920-733-2713 WATTERS PU�NBING PAGE 01/01
uaL ud ,u� us:q�p UShKOSh ln5peeZians 920-236-5084 p� i
� Cl'ry of OShlwsh
Division of InspecdaR►Sesvices ' �
1O �
p.0.Box 1 t 3U
oshkosh,w]549o3-al3Q '
Pitoee(920)236.SD50 � u
fax (920)23�5484 . f i
. . . ON rNG WATEIt �
, ELECTRICAL PERMI7 APPLICATtON �
All infoa�atioc aftar bold caoegosia m:st be provided
X�ornplete applicatioag will not be processed.
• Applicatian(s)and fee(s)can be b�ought te Ciry Hall,Room 305 or mailed to Irupecrion Services,PO Box 1 i 28,
Oshkosh WI 54903-1128. Cornmencing work without penoit{s)will result in&es being doubled or S 100.00 plus the
notmei permit fee,wb,ich ever is greater. �
- OR
. a coat ror a rici r�� en rhs e*m et rem c�A have ade rrare unda cheek re
i o 'want tkix roees r �e h vo � account
DATE��U—! —
JOB ADDRESS /7i�D �2 bl'�Sl�i'fi •�/� — .
OWNF•R S -e ��
r •
CoNTxac�ro �'C : G
CHECK 0 ALL A�PLICAB�.E
U3�C�►TEGORX
�Single Family C]Duplcx DMulti-�aznily QRental ❑Commeccial Dlnduscrial
SERVYCE ON�vv OTemporasy T7�PE �Ovcchead �Not Applicable
p(�sange ON'ot Applicable �Undtrgrowld
FII.L tN TH�,A,�PROPRIATE BLANK WI'i�'1'HE NU1��
Volts��� / ��� Rec4ptaeles� � Cireuits#�,
Phasc �
pmpa 3witches# � Futures#
CRECK[�ALL APPLICABLE .
pRmnge dDis�washer OGarbage Dispos�l OXkyer D�1Vater Heattr
�an OR Blowa OFurnnce UA/C DElectric Sien
oMato� oG��S aar,� _
DF,S(,7tIP'TION OF ALL wOXL1C BEING ACiNE__�R-� FL-r,�n 1�ir�aa�P_.�
VP,I,UE(i�eludins labor and�U materials' cludioy ligb��ixtures}t ���-�.� _ .
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MAS7ER�.ECTRICYAN ��
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