HomeMy WebLinkAbout0123036-Electric (4 base board heaters)
e
OSHKOSH
ON THE WATER
Job Address 1330 OTTER AVE
CITY OF OSHKOSH
No
123036
ELECTRIC PERMIT - APPLICATION AND RECORD
MILDRED P/DANIEL I LAMERE
Create Date 12/12/2006
Owner
Con1ractor
Service
ELECTRICAL CONSTRUCTION SERVICI
Category 612 - Residential-Single Family Addition/R Plan
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
p New
120/240
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances BASE BOARD HEATERS
Use/Nature of DUPLEX /INSTALL 4 BASE BOARD HEATERS IN UPPER UNIT
Work
Fees: valua~ _$575.00
Issued By:. ~
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 12/29/2006
D Permit Voided I
Parcelld # 0205590000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
YVhile the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
d,escribed in this r:nit a cation 'thin an easement, the City strongly urges the permit applicant to contact the(easement
holder(s) and to sec approvals before starting such activity.
Signature Date
Agent/Owner
\1; lcr-o G?
Address
125 W 21ST AVE
OSHKOSH
WI 54902 - 0
Telephone Number 920-252-2770
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 oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
r>Fax (920) 236-5084
DEe 2 9 2006
~
OJHKOfH
ON THF WATER
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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater. '
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adeq.uate funds. check here
ifvau want this processed throuf!h va";' account 0, . ,
DATE rz: Oh '
JOB ADDRESS 13 ~ Qtt<.J.. &";
OWNER '~~\. ~'1L.iLF)
CONTRACTOR ~~~. L\--.~
CHECK a ALL APPUCABLJj:
USE CATEGORY
- r~Single Family , jZ1'Duplex DMulti-Family
. SERVICE, ONew DTemponuy
DChange ONot Applicable
ORental
o Commercial
OIndustrial
TYPE OOverhead
OUnderground
ONot Applicable
- FILL INTBE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
. :Amps
I
Receptacles #
Circuits #
Switches #
Fixtlires #
CHECK a ALL APPLICABLE
ORange
DFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
DGarbage Disposal ODryer aWater Heater
ONC DElectric Sign
OOther'1~"l ~~ .\1:>. ~<;A--<~~ ~ .
DESCRlPTIONOFALLWORKBEINGDONE T~. 4 ~') ~ ~<;:A-~~ 1.\.J
\'\WaJL ~')...\9\"T '
~ .S7S:Q~
~
fJ-1)]
\
MAsTER ELECTRICIAN
3/02