HomeMy WebLinkAbout0122940-Electric (2nd floor bedroom)
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OSHKOSH
ON THE WATER
Job Address 1234 GRAND ST
CITY OF OSHKOSH
No
122940
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
THOMAS G PUTZER
Create Date 12/19/2006
Contractor
T RUCK ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
pNew
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / WIRE 2ND FLOOR BEDROOM REMODEL
Work
Fees: Valuation $900.00
Issued By: . ~l-0
Plan Approval
$0.00
Permit Fee Paid
$53.00
Date 12/19/2006
o Permit Voided I
Parcelld # 1507170000
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 RDAVE
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 (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.
City of Oshkosh
(-~\Divisio21 ofInspcction Services
.1".0. Box. t 130
Oshkosh, WI 54903-j 130
Phone (920) 236-5050
Fax (920) 236-5084
DEe I 9 2OIJ/j I
ON THE \'v'AfFR
ELECTRICAL PERMIT APPUCA TION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Ii.> Applicatiou(s) and fee(s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
f( 1'01./ are (I contractor oarticilJatin[! in the Permit Fee Account Svstem and have adeQuate filluis. check here
d vall want this l!roc'essed throur;h vallI' account 0
JOB ADDRESS_ 1"234 kt<...---l4N 0 .~J-
OWNER ~M 9U~<L
CONTRACTOR. ~ W't;;\c... tt'V-L~(C-, ~<..
DATE IZ.
IS: . O~
,
CHECK 0' ALL APPLICABLE
(\
CscCATEGORY
DDuplex
o Multi-Family
o Rental o Commercial OIndustnaI
TYPE DOverhead ~ Applicable
DUnderground
SERVICE ONev!
DChange
D1)roporalY
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
\'oHs ! Receptacles # /" Circuits # ~
Phase ....,-/ ~
Amps Swit(~hes # Fixtures #
CHECK 0 ALL APJl-"'LICABLIE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAle
o Other
DDryer DWater I-Ieater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE LA..) \ U
(Q~,\D:)~ .
7"J-iD =q: C'tlOt<:.
{\
'ALUE (Including labor and! .
?\lASTER ELECTRICIAI'
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