HomeMy WebLinkAbout0103900 EOSHKOSH
ON THE WATER
JobAddress 202W MELVIN AVE
Contractor TRUCK ELEC
Service [~ New ~ Change ~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARK D SACHARSKI
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 3
Switches 3
No 103900
Create Date 09/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Bath remodel. Hall light & switches.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/03/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
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_Y'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 System and have adequate funds, check here
if Vou want this processed through your account []
JOB X D SS
CItECK [] ALL APPLICABLE
~ingATEGORY
le Family F1Duplex IDMulti-Family
SERVICE ElNew [2]Temporary
F1Change FINot Applicable
E3Rental r'lCommercial Fllndustrial
TYPE F1Overbead EI'N~ Applicable
ElUnderground
FELL IN 'I'EIE APPROPRIATE BLANK WITH TR'E NUMBER
Volts / Receptacles # ~
Phase
Amps Switches # ~
Circuits
Fixtures
CI'IECK E] ALL APPLICABLE
F1Ra~nge FIDishwasher F1Garbage Disposal I-IDryer
~l~an OR Blower FIFumace F1A/C E]Electric Sign
ZlMotors UlGas Pumps r'lOther
DESCRIPTION OF ALL WORK BEING DONE ~ ~-~.~ ~W~.~Z/~ ,
DWater Heater
VALIJE (Including lab°r and~ll ~aLls including light fi~) $ ~(~ 2
3/02