HomeMy WebLinkAbout0122755-Electric (basement remodel)
e
OSHKOSH
ON THE WATER
Job Address 2365 BURNWOOD DR
CITY OF OSHKOSH
No
122755
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner WilLIAM J/PAMELA L DEGROOT Create Date 11/30/2006
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 4 Luminaires 12
Switches 10 Receptacles 20
Contractor HOEHNE ELECTRIC
Volts
Amps
Appliances
Use/Nature of SFRI Finishing off most of the basement' to include a family room/ rec. room. A small portion will be used as unfinished storage
Work space.
Fees: Valuation $900.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$53.00
Date 12101/2006
o Permit Voided I
Parcelld # 1323360900
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
AgenUOwner
Address
W599 STATE RD 21
BERLIN
WI 54923 - 0
Telephone Number 920-361-7242
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~NOV 30 06 07,44.
A~,~Z:,~.;;;~'CI;o"sm:k~ f-m,\ I'\L} AcccuAt ~~
Oshkosh, WI 54903-1 130 ' ~
Phone (920) 236-5050 0' ~ ~ -1-. ( .
Fax (920) 23('-50B~ , R~~ ~\5~Ll I ).-I-oCc- . tJ.()(j tu"~ . O/I-IKQ/I-j
. . +w.~\\CAl\ Mp:rtv\ I^ {\'\~(b'\l~ i-~ S~)l;In;,;:r\iH-
ELECT~\:;t~CAL PERF\.mnr i~pr::vn_~GAT~Of\~ O~:'C..LXC '\
All inCormation afrer bold categories must be provided. ~,/
incomplete applications will not be processed. DEe 01 2006 f/(J'
CURTIS HOEHNE
1-800-603-7242
p. 1
tPk?A92- -l'-A~~ /P-eexn d- ~
. Application(s) and fcc(s) cun be brought to City Hall. Room 205 or mailed to Inspection SCr\-'ico.:s, PO Box 1128.
Oshkosh WI 54903-1128. Commcncin~ work without pcrrnit(s) \vill result in iees being doubled or $100.00 plus the
normal permit fec, which ever is gr~alcr.
OR
I{vou are (l contractor T/artic1rW/1Ill' 1n (he Pennie Fee :lCCO/lIle Svsrcm and hal'e ade(/llll(c (IInds. check here
i ( v O!l \II a Tl t t his TJ r () c e oS' S (! rf t); r 0 / If! h "0 II,. (l(:.C () U 11 t [J
CONTRACTOR
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JOB ADDR
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OWNER
r,~CK 0 ALL APPLICABLlE
dE CATEGORY
94'Single Family DDnplcx OMulti-Family
SERVICE ONe,v DTemporary
OChange DNat Applicable
ORentai
o Commercial
DlndustIial
T-'jr'PE
o Overhead
DUndcrground
ONOl ApfJlicablc
FILL IN THE A}>lJROPRlIA TE BLANK YvlTE-] TFIE NlI.JF>'1BEI<.
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eceplIaclcs -:-::::;:X U
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LiIrCurts tr ..
Volts
Phase
Amps
\-.. ',' ,,10
, -'''[~.~e'' -.
()v;, II T_~f .:.;I tr
Ffixtl.nJ:cs # /;;;}..
CHECK &1 ALL APPLICABLE
ORange DDisbwasher OGarbage Disposal
OFan OR Blo\Xicr OFurnace DAle
OMeters OGas Pumps OOtl~
DESCRIPTION OF ALl" WORK BEING DONE~U:iS~'rYle\'\+
oDrycr DWaLcr I-Ieater
DEJectric Sign
-t?ernc:xkL
MASTER ELECTRICIA '
........... ..... .. t3. I...
,. . .~WO.\
oJ _.. - . ~.. (:".... I \ ,.. . ."<...-)
als mcludmg dghc ;;1::':Hln~SJ $ .' ./
f\
" VALUE (Including labor and'
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