HomeMy WebLinkAbout0103405-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2465 BLAKE CT
SCHAFER ELECTRIC INC
[~ New (~) Change (~) Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JILL M HENSELIN
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 6
No 103405
Create Date 07/1 $/2003
Plan
~ Underground
Fixtures
Receptacles
10
18
Appliances
Use/Nature of SFR/ Wiring for finishing off the basement to include a rec room, office and a full bathroom.
Work
Fees: Valuation
Issued By:
$1 ,$00.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 05/05/2003
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
920-725-2031
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.
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL
PERMIT
APPLICATION uG 0 8 2003
Ail information after bold categories must be provided. ' '
Incomplete applications will not be processed. DE?^RTMENT 0F
fee(s) can be brought to City Hall, Room 205 or mailed toP~'~r~[~,~'~28,
Application(s)
and
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 participatin~ in the Permit Fee Account System and have adequate funds, check here
if vou want this processed through Four account []
JOB ADDRESS
OWNER
CONTRACTOR~
cI-r~,CK [] ALL APPLICABLE
~ CATEGORY
[ZISingle Family
SERVICE ElNew
DChange
F1Duplex -~Multi-Family
___r pora y
,~l'Not Applicable
ElRental F1Commercial I=llndustrial
TYPE F1Overhead ~ Applicable
UlUnderground
FILL IN TIlE APPROPRIATE BLANK WITH TItlg NUMBER
Volts / Receptacles # /~' Circuits
Phase
Amps- Switches # ~, Fixtures
CItECK [] ALL APPLICABLE
F1Range E]Dishwasher F1Garbage Disposal FIDryer tZ]Water Heater
F1Fan OR Blower IDFumace E]A/C E]Electric Sign
[2Motors [2Gas Pumps FlOther
ESC IO O LWO BEING ONE
VALUE (Inclu~ding labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02