HomeMy WebLinkAbout0103689-Electric (smoke detectors & misc)OSHKOSH
ON THE WATER
JobAddress 811 JACKSON ST
Contractor M&M ELECTRIC
Service [~ New (~) Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J WICINSKY
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 4
No 103689
Create Date 08/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Install two smoke dectors and two light fixtures. 3 receptacles and 4 switches.
Work
Fees: Valuation
Issued By:
$450.00 Plan Approval $0.00 Permit Fee Paid $20.00
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 332 W 15TH AVE Oshkosh WI 54902 - 0 Telephone Number
426-2346
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
ON THE WATER
JobAddress 811 JACKSON ST
Contractor M M ELECTRIC
Service [~ New (~) Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J WICINSKY
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 4
No 103689
Create Date 08/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Install two smoke dectors and two light fixtures. 3 receptacles and 4 switches.
Work
Fees: Valuation
Issued By:
$450.00 Plan Approval $0.00 Permit Fee Paid $20.00
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 332 W 15TH AVE Oshkosh WI 54902 - 0 Telephone Number
426-2346
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.
' ~a~ 23 03 09:28a Oshkosh Inspections 920-236-S084 p.3
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
All information after bold categories most 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 5,1903-1128. Commencin~ work without permit(s) will result in fees being doubled or $100.00 plus the
normal perrmt fee, which ever is greater.
OR
If you are a contractor particivatini, in the Permit Fee Account $¥stern and have adequate funds, check here
if you want this processed throu£h your account []
JOB ADDRESS ~// "~C[¢SO/'t
CON CTOR ra ,g
CHECK ~ ALL APPLICABLE
USE CATEGORY
nSingle Family nDuplex ElMulfi-Family
SERVICE [3New [3Temporary
[3Change ~kNot Applicable
~ental ~Commercial nlndustrial
TYPE ElOverhead ,~lNot Applicable
FIUndergroand
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ! Receptacles # ~
Phase
Amps Switches # -~
Circuits
Fix~mres
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher rnGarbage Disposal
nFan OR Blower nFumace FIA/C
FIMotors [:lGas Pumps r'lOther
DESCRIPTION OF ALL WORK BEING DONE ~'~'
[2Electric Sign
F1Water Heater
VALU'E (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN ~-e..~.- p ~t~~/
3/02