HomeMy WebLinkAbout0106292-ElectricCITY OF OSHKOSH
106292
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date02/02/2004
1425 KENSINGTON AVEDENNIS R/SHARON SCHNEIDER
ContractorSECKAR ELECTRICCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts1Circuits3Fixtures2
Amps0Switches2Receptacles3
Appliances
Use/Nature of SFR/BASEMENT BATHROOM
Work
Plan Approval$0.00
Fees: Valuation$600.00Permit Fee Paid$26.00
Issued By:Date02/02/2004
Permit Voided
Parcel Id #1311270000
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
5920 COURTNEY PLUMMER RDWINNECONNEWI549860(920) 582-4909
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 ' ~ _ .--~ a tl~ .
Division of Inspection Services
P.O. Box 1130
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Oshkosh, WI 54903-1130 ~~A.. .
Phone (920)236-5050
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Fax (920) 236-5084 ~ ~ ~~ ~ ~ ~ Q ~ .~HKO~
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', ~t _...m..,r~~Y ~~.~i~~~..d~G ON THE\Ni-TER
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
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JOB ADDRESS ~~ 2 s !C Ohl S 1 N G~ fy'
owNER ~~7~1 NI S S~ E~ N~ i p ~~
CONTRACTOR SL G ~~ {~-~ ~ ~ ~ ~- I L
CHECK H ALL APPLICABLE ''
USE CATEGORY
[$5ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ~ot Applicable
^Change 13~ot Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ~ Circuits #
Phase
Amps Switches # ' ~ Fixtures # Z
CHECK ~ ALL APPLICABLE
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower OFurnace ^A/C ^Electric Sign
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE ~~5~ /h ~!U-T ~~I- ~ ?-~Q C~a M
VALUE (Including labor and all materials inclu ing light fixtures) $ (p ~ ~ - ~~~
MASTER ELECTRICIAN S
3/oz