HomeMy WebLinkAbout0103691-Electric (garage)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2013 WINCHESTER AVE
MY ELECTRIC CORP.
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MR/MRS JOHN A MYERS
Category 810 - Residential-New Single Family Service
Type I~ Overhead
Circuits 0
Switches 0
No 103691
Create Date 08/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Underground from house to garage.
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Date 08/25/2003
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 1512 RUGBY ST OSHKOSH WI 54902 - 6360 Telephone Number
(920)231-0707
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 Oshknsh
Division df Inspection Services
P.O. Box I 130
Oshkosh, WI 54903-1130
Phone (920) 235-5050
Fax (920) 235-5084
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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this vrocessed through your account []
l-
JOB DlmSS
DATE
CHECK [] ALL APPLICABLE
USE/CATEGORY
~S]ngle Family E]Duplex KlMulti-Family [Z]Rental
F1Commercial [2]Industrial
SERVICE F1New
I~Change
VITemporary
E]Not Applicable
TYPE F1Overhead
r'lUnderground
E]Not Applicable
FILL IN TIlE APPROPRIATE BLANK WITH TH ~; NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
UlRange VIDishwasher [21Garbage Disposal
FIFan OR Blower F1Fumace ~qA/C
VIMotors IZIGas Pumps FIOther
DESCRIPTION OF ALL WORK BEING DONE
ElDryer DWater Heater
F1Electric Sign
'7',,d _
VALUE I I d 1
( nc u ing abor and all materials including light fixtures)
3/02