HomeMy WebLinkAbout2003-Electric (jumper, smoke detectors)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
603 SCHOOL AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL A/TERES GORDLEY
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 103564
Create Date 08/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Re-attach bonding jumper from gas to water and add 4 smoke detectors to second floor. *Job #37706.
Work
Fees: Valuation
Issued By:
$486.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 08/15/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
08/15/2003 FR[ 05:~$ FAX 920 738 $9~7 SERVICE
Division of Inspection Services t -.
Osl~kosh, wi 54903-1130
Phone (920)
Fax (920) 236-50~4
ELECTRICAL PERMIT APPLICATION
All infatuation afmr bold categories must bc provided,
Incomplete applications will not be processed.
~001/001
Of HKO_/'H
u Application(s) and fcc(s) can bc brought m City l-lall, P. oom 205 or mailed m Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permiffs) will result in fees being doubled or $100,00 plus thc
normal l%--trait fcc, which ever is greater.
OR
If_you.are a contractor l~articipatin~ in the Permit F~e /lccount System and have adequ..ata funds, check here
if you want this processed thro~t~,~t' your account ~
/,
OW R
CHECK ~ ALL APPLICABLE
AE CATEGORY
ingle Family nDUplex EIMulti-Family
SERVICE [3New [3Temporary
13Chan§e [3Not Applicable
E]Remal ElCommereial Ellnduarial
TYPE ~]Overhead ~Not Applicable
I-IUn&rground
FILL IN THE APPROPRIATE BLANK WITH TH~ NUMBER
Volts - / Receptacles # Circuits
Phase
Amps , Switches # Fixtures
CHKCK I:~ ALL APPLICABLE
ORange; l-IDishw~sber I-IGarbage Disposal I-lDryer
~Fan OK Blower DFurnace EIAtC I-IElectric Sign
VIMotors ~Gas Pumps ElOthcr
u1Watcr Heater
OESCRIPTIONOFALLWORKBEINGDONE [~/';' aP/aa/// bo~ad,%a ja,~,~p,e,-
.a(a~ -Po wa4~r , agd (q) 3~el~ ~,.t.&,~,,~ ~ ~1
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~' ~ --~> /