HomeMy WebLinkAbout0103912 EOSHKOSH
ON THE WATER
.lob Address 1318 ONTARIO ST
Contractor APEX ELECTRICAL SOLUTIONS INC
Service [~ New (~ Change (~ Temp
Volts 120 / 240
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROGER C/LORETTA RUPIPER
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 2
No 103912
Create Date 09/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFRNViring for new garage.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 09/04/2003
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 PO BOX 2726 Appleton WI 54912 - 0 Telephone Number
920-882-9070
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
,lob Address 1318 ONTARIO ST
Contractor APEX ELECTRICAL SOLUTIONS INC
Service ~ New (~ Change (~ Temp
Volts 120 / 240
CITY"OF O~HKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner ROGER C/LORETTA RUPIPER
Category 612- Residential-Single Family Addition/R
I Type ~ Overhead
Circuits 2
Amps 20 Switches 2
No 103912
Create Date 09/04/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for new garage.
Work
Fees: Valuation
Issued By: ~///
$500.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 09/04/2003
[] Permit Voided J
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 enfome 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 Cure any necessa~pp~ b,e~r.e starting such activity. ~ J ¢~..~
Signature .~//~ ~.~. ~ Date /
~¢/ ~' Agent/Owner
Address PO BOX2726 Appleton WI 54912 - 0 Telephone Number 920-882-9070
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
Divisi°n of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OSHKOSH
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 54903ol 128. 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 Systern and have adequate funds, check here
if you want this processed through your account []
DATE 7-- ~/~ ~3
JOB ,D SS
CONTRACTOR
CHECK ~ ALL APPLICABLE
USE CATEGORY
~l'Single Family [3Duplex F1Multi-Family
SERVICE r'lNew [3Temporary
F1Change [~lqot Applicable
[3Rental [3Commercial [3Industrial
TYPE FIOverhead E]Not Applicable
FIUnderground
FILL IN 'i'll E APPROPRIATE BLANK WITH THE NUMBER
Volts /20 /e~ e/d Receptacles#
Phase /
Amps ~-g) Switches #
Circuits # ~,~ '
Fixtures # f-
CHECK [] ALL APPLICABLE
F1Range [3Dishwasher [3Garbage Disposal
[3Fen OR Blower [3Furnace [3AIC
ElMotors [3Gas Pumps [3Other
DESCRIPTION OF ALL WORK BEING DONE ~f./]/'n/'~
F1Dryer [3Water Heater
[3Electric Sign
VALUE (Including labor and all materials including light fixtures)
3/02