HomeMy WebLinkAbout2003-Electric (devices & circuits)OSHKOSH
ON THE WATER
JobAddress 821 RIDGE LN
Contractor TRUCK ELEC
Service [~ New ~ Change ~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN/KATHLEEN LA BUWI
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 103899
Create Date 09/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install devices and circuits to existing receptacles.
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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
· 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 [unds~ check here
if you want this processed through your account []
CItECK [] ALL APPLICABLE
~ing~TEGORY
e Family U1Duplex I-1Multi-Family
SERVICE [New [3Te~mpomry
F1Change 131q~t Applicable
F1Rental r-lCommercial [Industrial
TYPE F1Overhead F1Not Applicable
I-1Underground
FILL IN TH Itl APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CItECK [] ALL APPLICABLE
F1Range F1Dishwasher DGarbage Disposal
[3Fan OR Blower [3Furnace [3A/C
F1Motors F1Gas Pumps E]Other
[]Dryer [3Water Heater
[3Electric Sign
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and
MASTER ELECTRICIAN
3/02