HomeMy WebLinkAbout0123252-Electric (bath remodel)
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OSHKOSH
ON THE WATER
Job Address 1511 BUCHANAN AVE
CITY OF OSHKOSH
No
123252
ELECTRIC PERMIT.. APPLICATION AND RECORD
Service
p New
o Change 0 Temp
Owner PATRICIA A WEBER LIFE ESTATE Create Date 01/22/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 2 Luminaires 2
Switches 3 Receptacles
Contractor DREXLER ELECTRIC
Volts
Amps
Appliances
Use/Nature of ~FRI Bathroom remodel.
Work
Issued By:
$400.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Date 01/22/2007
o PerlT)it Voided I
Parcelld # 1602750.000
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 th~ 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
.
OJHKOJH
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 ou are a contractor artici atin in the Permit Fee Account Svstem and have ade uate unds check here
if vou want this processed through vour account 0
JOB ADDRESS /.5 II .tJrJclf/'fdn-J Av.t~
OWNER j?~/C/1- tJgAt!~
CONTRACTOR '9/2FXLEf<.. ELECTtZIC
DATE
I~ 12'-D7
E
EIVED
"MI\122
DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE DNew
DChange
ODuplex
OMulti-Family
o Rental
o Commercial
o Industrial
DTemporary
);iNot Applicable
TYPE DOverhead
o Underground
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /.
Phase
Amps
/
Receptacles # ...:t-.
Switches # 3
Circuits # ..2...
Fixtures # L
CHECK 0' ALL APPLICABLE
DRange
DFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
DGarbage Disposal
DAlC
o Other
L5J:l'T1j- /(l()~
DDryer DWater Heater
DElectric Sign
1<1"" (M,;"!f '
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materia s including Ught fixtures) $
\0\
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MASTER ELECTRICIAN
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