HomeMy WebLinkAbout0123445-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
123445
ELECTRIC PERMIT - APPLICATION AND RECORD
I
Job Address 3865 EDGEWOOD RD Owner
Contractor ELECTRICAL CONTRACTING SPECIALJ: Category
Service 10 New o Change o Temp . N/A
Volts 120/240 Circuits
Amps 200 Switches
Appliances Range, DW., G.D., dryer, furn., AlC
EDGEWOOD VILLAGE HOMEOWNERS AS Create Date 01/18/2007
611 - Residential-New Single Family Wirin
Type 0 Overhead
30
Plan
o Underground
Luminaires
25
30
Receptacles
50
Use/Nature of NSFRI New single family' 1 story 2 car attached garage, 14' x 14' patio. Tempered glass will be required next to the operable pa-nel of
Work he patio door nin the dining room.
Fees: Valuation
$8,800.00
Plan Approval
$0.00
Permit Fee Paid ;-C;'. $196.00
Issued By:
?2r~
Date 02/08/2007
o Permit Voided I
Parcelld # 1282000100
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
2/ e/~'7
/
Address
PO BOX 42
BERLIN
WI 54923 - 0
Telephone Number 920-428-7000
To schedule inspections please call the Inspection Request line at 236-5128 n9tin9 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 of Inspection: Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone-(920) 236-5050
Fax (920) 236-5084
~
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,
Oslikosh 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 at in in the Permi,t Fee Account S stem and have ade ,uate unds check here
ifvou want this processed throuf!h YOUr account 0
DATE
2-/7!~1
JOBADDRESS ,>~65 ~+,..)~ !d-
OWNER' ~~;~ .Jv,'r~->
CO~CTOR i/C5
CHECK I.tf ALL APPUCABLE
USE CATEGORY
~ingle Family
,'SERVICE, ,3New
DChange
ODuplex
OMulti.Family
ORental
o Commercial
o Industrial
DTemporary
DNot Applicable
TYPE DOverhead
JRUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
,Volts /Z 0 I W'o
~hase ' (
Amps 2--CTP
Receptacles # .,..-0
Switches # -;50
Circuits # '"30 .
FixtUres # 2- 5'
CHECK Ea ALL APPLICABLE
I)ZJRange .
OFan OR Blower
DMotors
~Dishwasher
lBFumace
DGas Pumps
~Garbage Dispqsal
~AlC
DOther
~er tJWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE AI'; ;:-/L
.' VALUE (Including labor and all materials including light llXtures) $ ~8tr'iJ
MASTER ELECTRICIAN
.~~.~~
3/02