HomeMy WebLinkAbout0103795-ElectricOSHKOSH
ON THE WATER
.lob Address 734 FREDERICK ST
Contractor LARK ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MATTHEW A MICHEL
Category 612 - Residential-Single Family Addition/Ret
Amps 0
~ Temp
No 103795
Create Date 08/26/2003
Plan
Type I~ Overhead ~ Underground
Circuits 5 Fixtures
Switches 2 Receptacles
Appliances
Use/Nature of SFR/ Remodeling the 2nd floor bathroom and bedroom to convert to a bathroom and laundry room ( Install kitchen & bath lights and whirlpool
Work outlets ).
Fees: Valuation
Issued By:
$800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Date 08/28/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
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.
, R~g 12 03 03:45p Oshkosh Inspeotions
P.O. Box I
Oshkosh, WI ~4903-1130
Phone (920)
Fax (920) 236-:~0S4
EIVED
AU6 2 8 2003
DZPA~TMENT OF
ELECTRICAL Pl~'~JJ~ ~i,~J~NT
· Applicalion(s) and fee(s) can be brought m City Hall, Room 205 or mailed to lnsp~don Services, ~ ~x 1128,
OshkoshWI $4~03-1128. ~gw~rkwithoutl~rngt{s)willr~sultin fees bcing doubled or $100.00 plus the
normal p~k fc~, which ~er is
OR
If you are a Contraetor varticit~atlng i~ the Perm it Fe~, .4¢cou~cSvetern and have ade/t,~ate funds, cheek here
i£vou wan~ this orocessed throu~rh your account []
.lOB ADDRESS ,,
OReotal OCommercial Cllr, duarial
TYPE C]Ovathead I:~Not Applicable
i?ILL IN THE APPROPRIATE BLANK WITH
Volts tZo t z.'-to Reeepiaeks# ~
Phase
Amps ,,, l~ltebes # ~-. ,,,
CHECK ~ ,6,~ z. APPLICABLE
r'lGazbage Disposal
ElDr~r rlWat~r Heater
ElElearic Sign
VALUE (~duding hirer and all mteriab induding H~r~) $ ~0 e
MAS'I'I~ ELECTRICIAN. ~,. .x~ ~ ~oU/-~
3/02