HomeMy WebLinkAbout0106494-ElectricCITY OF OSHKOSH
106494
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date02/17/2004
1656 HUNTERS GLEN DRSTUART/DEBORAH CHALLONER
ContractorSLIM'S ELECTRIC, INC.Category612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of SFR / WIRE FAMILY ROOM ADDITION
Work
Plan Approval$0.00
Fees: Valuation$800.00Permit Fee Paid$38.00
Issued By:Date02/17/2004
Permit Voided
Parcel Id #1331760000
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
2608 OAKWOOD CIROSHKOSHWI549048466(920) 426-5249
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
Osbkosb. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236--5084
RE a< E I E ~
FEB 1 7 2004 ~
DEPJlRTMENT OF ~~QlH
ELECTRICAL pi~{fl~PLIfe~ENT
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 pennit(s) will result in fees being doubled or $100.00 plus the
nonna! pennit fee, which ever is greater.
OR
If vou are a' contractor 'Darticipating in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed thrOUllh vour account 0
DATE
02/13/04
JOB ADDRESS 1656 Hunters Glen Rd
OWNER Mr. Challoner
CONTRACTOR Slim's Electric Inc.
CHECK iii ALL APPLICABLE
USE CATEGORY
f&1Single Family ODuplex
OMulti-Family
ORental
OCommercial DIndustrial
SERVlCF. ONew DTemporary
OChange ONot Applicable
TYPE DOverhead ONot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
, Switches #
Circuits #
Fixtures #
CHECK iii ALL APPLICABLE
ORange
LlFan OR Blower
OMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAle
DOther
ODryer DWater Heater
ClEleetrie Sign
DESCRIPTION OF ALL WORK BEING DONE
. Wire family room Addition.
VALlIE (Including labor and aU materials including light fixtures) $
800.00
MASTER ELECTRICIAN
3/02
.,
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