HomeMy WebLinkAbout0123434-Electric (2nd floor)
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OSHKOSH
ON THE WATER
Job Address 637 MOUNT VERNON ST
CITY OF OSHKOSH
No
123434
ELECTRIC PERMIT - APPLlCATIO~ AND RECORD
Owner
DANIEL J MCCARTHY
Create Date 02/07/2007
Category 612 - Residential-Single Family Addition/R Plan
Contractor
ZIMMER ELECTRIC INC
:0 New
o Cha~ge 0 Temp
. N/A
Type 0 Overhead
o Underground
Service
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of FR / WIRING 2ND FLOOR, ADDING RECEPTACLES AND LIGHTS **debt acct
Work
Fees: Valuation
$700.00
Plan Approval
$0.00
Permit Fee Paid
$39.00
Issued By:
7>-vY\ LJ
Date 02107/2007
o Permit Voided I
Parcelld # 0402530000
In the performance of this work I agree to perform all work pursuant to rules goveming 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
hoJder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
751 E RIVER DR
OMRO
WI 54963 - 0
Telephone Number 920-685-2387
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.
near eas-t- reQevelo ~ me-t\. t
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPlJCATION
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 pennit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Perm' fj e Account S stem and have ade ,uate unds check here
ifvou want this processed throuf!h YOUr account
JOB ADDRESS [p ~ { m Dl.l nt Ve'f n.D f\ 8-
OWNER..:...Oa" hi c. Co- ~ -t-'r\ ~ ...
CONTRACTOR z.. ," ('("\ mer E:\eC:t-ri c
.DATE~
CHECK ~ ALL APPUCABLE
USE CATEGORY
}i{Single Family . DDuplex DMulti-Family
.' SERVICE. DNew DTemporary
DChange ytNot Applicable
ORental DCommercial OIndustrial
TYPE DOverhead Q(Not Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Receptacles # . V
/
Circuits #
. Volts
~hase
:Amps
Switches #
FixtUres #
~
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
DFumace
DGas Pumps
DGarbage Disposal
ONC
DOther
ODIyer OWater Heater
OElectric Sign .
DESCRIPTION OF ALL WORK BEING DONE W\,~ n...J ~nd. +\ OOr- -o..dJ i'lj
Y"'eC-epM...cJ e.~. ou,.cl l i 3 ht-s.
C)()
. . VALUE (Including labor and all materials including light llXtures) $ 7.00.
MASTER ELECTRICIAN
exf-. 51~
o.~ \ I C"IA.--h' Ot"\ .{O I.j
phone...
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