HomeMy WebLinkAbout0122798-Electric
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OSHKOSH
ON THE WATER
Job Address 2119 NEBRASKA ST
CITY OF OSHKOSH
No
122798
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KAY E WICKERT
Create Date 08/14/2006
Contractor
SLIM'S ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFRI Constructing a 25'x16' family room addition onto the rear of the house. The existing bathroom will be remodeled. * An exhaust fan
Work will be required for the bathroom.
Fees: Valuation
$900.00
OYJ1M
Plan Approval
$0.00
Permit Fee Paid
$53.00
Issued By:
Date 12/05/2006
D Permit Voided I
Parcelld # 1402410000
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
2608 OAKWOOD CIR
OSHKOSH
WI 54904 - 8466
Telephone Number 920-426-5249
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.
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Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5050
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.
If you are a contractor participating in the Permit Fee Account System
and have ade uate funds, t e YES if ou want this rocessed throu h
your account
DATE12/03/06
JOB ADDRESS 2119 Nebraska st.
OWNER Ms. Wickert
,
CONTRACTOR Slim's Electric Inc.
CHECK ALL APPLICABLE
USE CATEGORY
X Single Family
n
Commercial
c:
H' Duplex
o Rental
o Multi-Family
n
Industrial
SERVICE 0 New [J Temporary TYPED Overhead
Dr: Not
H,j Change .
Apphcable
C Not
Applicable
o Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMSER
Volts 1
Receptacle; [
. '-n'.. '.,,'" ~...'_' "..I
Circuits # r
i
" ,............,J
Phase t..
t: .
\0 '
^ \~ \ -_r! Ct\%
\' 3"' r.1 ./l
IJ-
it-
\
r\
Amps ["...
r--~-~~~'"
Switches #WH...,.J
Fixtures # [
..,j
CHECK ALL APPLICABLE
C Range
C Dishwasher ~;s~ge C Dryer
D FanOR I"""
L: Furnace
Blower
D Ale
o Electric
Sign
Motors
D Gas
Pumps
Other
DESCRIPTION OF ALL WORK BEING DONE
Sunroom and bathroom addition.
F"
o Water
Heater
I
VALUE (Including labor and all materials including light fixtures)
$ 900.00
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