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Home My WebLink About0103549-Electric (bath)OSHKOSH ON THE WATER Job Address Contractor Service Volts 540 JEFFERSON ST YOURR ELECTRIC [~ New (~ Change (~ Temp Amps 100 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner BON B/MELANIE A KEOMANY Category 633- ResidentiaI-Multi-FamilyAddition/Rem Type I~ Overhead Circuits 0 Switches 0 No 103549 Create Date 08/15/2003 Plan ~ Underground Fixtures Receptacles Appliances Furnace & range. Use/Nature of MULTI-FAMILY/RENTAL/Remodel bath. Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 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 BOX 311, N928 County Rd T Dale WI 54931 - 0 Telephone Number 920-779-6989 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. OSHKOSH CITY OF OSHKOSH ELECTRIC PERMIT-APPLICATION AND RECORD ON THE WATER No t 03549 Job Address 540 JEFFERSON ST Owner BON B/MELANIE A KEOMANY Create Date 08/15/2003 Contractor YOURR ELECTRIC Category 633- ResidentiaI-Multi-FamilyAdditlon/Re Plan Service ~ New (~ Change O Temp Type ~) Overhead ~'~ Underground Volts Circuits 0 Fixtures Amps 100 Switches 0 Receptacles Appliances =umace & range. Use/Nature of ~IULTI-FAMILY/ RENTAL/ Remodel bath. Work Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 ~ssued By: ~ Date 08/15/_2_0__0_3~ Permit Voided In the performanco 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 easen)~nt, the City str~gly urges the permit applicant to contact the easement holder(s) and to ~'cure an~' r~r'approvals I~e~ s~"~ 'rt~g ¢¢ch activity. Signature ~ ,,~'~A/~___~¢ ~/"-/,~t/~,~/~ Date ~/ Agent/Owner Address BOX311, N928 County Rd T Dale WI 54931 - 0 Telephone Number 920-779-6989 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 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 O/HKO/H 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 If you are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here if you want this processed through Four account [] CHECK g~ ALL APPLICABLE USE CATEGORY nSingle Family [:]Duplex ~lMulti-Family SERVICE ElNew ElTemporary I"lChange FINot Applicable ~lRental r'lCommercial FIIndustrial TYPE J~Overhead [3Not Applicable '[3Underground FILL IN TH E APPROPRIATE BLANK WITH Tlllg NUMBER Volts / Receptacles # Phase Amps /00 Switches # Circuits # Fixtures # CHECK [] ALL APPLICABLE '~nge 13Dishwasher ElGarbage Disposal I-1Fan OR Blower ~j~Ft mace FIA/C r"lMotors IDGas Pumps I-IOther DESCRIPTION OF ALL WORK BEING DONE E]Dryer E]Electric Sign ElWater Heater VALITE (Including labor and all materials including light fixtures) $ MASTER ELECTmCInN Y :6 /? 3/02