HomeMy WebLinkAbout0103127-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
514 HIGH AVE
HOEHNE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN T/LINDA A PORIOR
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 103127
Create Date 07/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Bathroom, kitchen remodeling, change panel, service by meter socket still needs grounding.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 07/28/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number
920-685-0199
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
Divisi°n of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OY'HKO/H
· 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 proces}ed through your account []
DATE "~A Y,4?
CONTRACTOR
CI-rECK [] ALL APPLICABLE
USE CATEGORY
12]Single Family ~uplex [3Multi-Family
SERVICE DNew ClTemporary
IZlChange I"lNot Applicable
/~ental VlCommercial l-IIndustrial
TYPE i-IOverbead ElNot Applicable
I-lUnderground
FILL IN THE APPROPRIATE BLANK WITH TRE NUMBER
Volts / Receptacles # Circuits
Phase
Amps Switches # Fixtures
CHECK [] ALL APPLICABLE
V1Range I-IDishWasher [3Garbage Disposal [3Dryer [3Water Heater
ElFan OR Blower ElFumaee [3A/C [3Electric Sign
V1Motors ElGas Pumps 13Other
VALUE (Including labor anti.rials inclndiag light fixtures) $ /]/ff'~, Or-)
3/02