HomeMy WebLinkAbout0122930-Electric
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OSHKOSH
ON THE WATER
Job Address 2840 OREGON ST
CITY OF OSHKOSH
No
122930
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ROBERT J/ELAINE A KOSSEL
Create Date 12/18/2006
Contractor DREXLER ELECTRIC
Service o New o Change o Temp
Volts 120
Amps 15
Appliances Furnace
Category 643 - Commercial-Addition/Remodels Plan
. N/A
Type 0 Overhead
o Underground
Circuits
Luminaires
Switches
Receptacles
Use/Nature of COMM / INSTALL WIRING FOR BOILER
Work
Fees: Valuation
Issued By: ~ W
$250.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 12/18/2006
D Permit Voided I
Parcelld # 1413310200
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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 0
Telephone Number 920-589-6700
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
~ Phone (920) 236-5050
f!Pax (920) 236-5084
REOEC ~!~ED .
DEPARTMENT OF OJHKOJH
COMMUNITY DEVELOPMENT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THE WATER
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I Oll are a contractor artici aNn in the Permit Fee Account Svstem and have ade llate unds. check here
if vou want this processed throuf!h vour account D
JOB ADDRESS c2<gfo c9/u-Cjo'/
~
OWNER KDS sa ;-
CONTRACTOR Q/z/:)<cd aLi:::rrz~c
DATE
/.;;/- /r-d &'
CHECK 0' ALL APPLICABLE
USE CATEGORY
r?Single Family
SERVICE ONew
o Change
DDuplex
DMulti-Family
DRental
~ommercial
o Industrial
o Temporary
)iitNot Applicable
TYPE OOverhead
OUnderground
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I2-D I
Phase j,...;
Amps / S-
Receptacles #
Circuits # .:1-
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
o Motors
ODishwasher
)8Fumace
DGas Pumps
OGarbage Disposal
ONC
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORI); BEING DONE
..::c 1"1$ 7frJ-tL VJ[i-Z.,m;; n VL LJ6; l"!-/Z,
~ALUE (Including labor and all materials including Ught fixtures) $ ;lSlJ I 0..5:
MASTERELECTRIClAN ~ (/. O~
3/02