HomeMy WebLinkAbout0123475-Electric (new mast)
17
~e
OSHKOSH
ON THE WATER
Job Address 1334 LIBERTY ST
CITY OF OSHKOSH
No
123475
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
LINDA P SCHABLOSKI/JACKIE HARRINGT Create Date 02109/2007
Category 612 - Residential-Single Family Addition/R Plan
Contractor
TOWN & COUNTRY ELECTRIC
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFRllnstall new mast. ""DEBIT ACCT"".
Work
Fees: Valuation
$400.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
.0Vnv-0
Date 02109/2007
D Permit Voided I
Parcel Id # 1206330000
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
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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.
82/89/8713:37:48
Faith Technologies-}
19282365884 928-738-1515
Page 882
J ()!O -# 3<6ot'Jo7
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All infonnation 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 permit fee, which ever is greater.
OR
ou are a contract r rtici alin in the Perm' ee Account S stem and have ade uate unds. check here
if vouwant this vTocessed through vour account
DATE ~/q /()7
JOB ADDRESS 136 E./: LJ h {ri-y
OWNER L f Vloltl( S c.(,J Ii b I 65 k ;
CONTRACTOR '1!JWL/t "t &U",+vy EI-(l:-h'J'l-
. CHECK Iii ALL APPLICABLE
~ CATEGORY
~gle Family DDuplex OMulti-Family
SERVICE ONew DTemporary
o Change ONot Applicable
DRental
DCommercial
OIndustrial
TYPE DOverhead
o Underground
ON ot Applicable
FILi.. IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
man OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
DGarbage Disposal
ONe
DOther.
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE / Vl5.fa II J1 eW m tL.& 1-- tJ Ld tJ tt t:-
IN tt.5 b {r} ..J-
VALUE (Including labor and aU materials including light ru:tures) $ LftJtJ, () () . Pt:.t :
MASTER ELECTRICIAN ~/. 4-. . ~ <0 UaJ
" ..-
i ?5t)()
~ I
A\ 'JI.\~ \JJ ql\'CJ
.~ W' a-IIJ,,,,
\