HomeMy WebLinkAbout0112571-Electric
CITY OF OSHKOSH
112571
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date02/04/2005
1903 SIMPSON STKAY A HETZEL
ContractorTOWN & COUNTRY ELECTRICCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
VoltsCircuits0Fixtures9
Amps0Switches5Receptacles18
Appliances
Use/Nature of SFR/ Install 3 GFCI in Kitchen 1 in bath, wire sump pump, install light at top of basement stairs, Install 2 rec in basement,2 rec in livingroom,
Workadd dining room light w/ switch, rewire upstairs - 8 outlets, 2 swithces, 2 - 3-ways, 6 recess lights, 2closet lights, 3 smoke detectors, wire new
hot water heater.
Plan Approval$0.00
Fees: Valuation$2,767.00Permit Fee Paid$82.00
Issued By:Date02/04/2005
Permit Voided
Parcel Id #1409310000
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.
SignatureDate
Agent/Owner
PO BOX 627APPLETONWI54912627(920) 225-6507
Address-Telephone Number
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.
02/03/2005 THU 10:45 FAX 920 738 8987 FAITH TECHNOLOGIES, INC. e1002/002
° w 3 M 7
Encompass Electrical Technologies - Midwest, Inc." 7 Proposal'
"Mq!Pili74116 0 Appleton, WI: 920-738-1513 fl Green Bay, WI: 920.131.866G 0 Madison. WI: 608-221-7777
0 Fond du Lae, WI: 920-921-0625 fl Plover, WI: 715-341-7055 0 Sheboygan. WI: 9'/.0
MiTetr 0 Mitwaukee, WI: 414-439-2410 0 Viroqua. WI: 600-G37-7777 0 Wautoma, WI: 920-787-014
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fl Tel City, IN: 012 0 Crivitz. WI: 715-054-2615
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PROPOSAL SUBMITTED TO ‘3 0 1, /1 4 4. L t.te ...k PHONE
DATE
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We hereby propose to furnish materials and labor for the completion of:
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(WE PROPOSE hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: ,\
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Payment to be made as follows:
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Authorized ". orized Signature e...,sz..-1.- ,..S Not: This proposal may be withdrawn by us if not accepted within days. ----+ •
ACCEPTANCE OF PROPOSAL; The above prices, specifications. and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as specified.
Payment will be made as outlined above. Signature '' lii N.7 L...
o( Aoceplance / - "7-1( .-- 0 _,
Sig rut Iure }
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FORM #7210 REV. 5/03