HomeMy WebLinkAbout0123584-Electric
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OSHKOSH
ON THE WATER
Job Address 1338 WINNEBAGO AVE
CITY OF OSHKOSH
No
123584
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner THOMAS/CINDY BAUER Create Date 02/21/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 4 Luminaires 2
Switches 3 Receptacles 3
Contractor B & H ELECTRIC
Volts
Amps
Appliances
Fan or Blower
Use/Nature of SFR / WIRING BATHROOM ADDITION
Work
Fees: Valuation ~ $650.00
Issued By: 7Jy--y1
Plan Approval
$0.00
Permit Fee Paid
$39.00
Date 02/21/2007
o Permit Voided I
Parcelld # 0203840000
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.
:;::;2, , .~~
Signature u.../~:5
AgenUOwner
Date d -rl-.1-67
Address
5421 NICKELS DR
OSHKOSH
WI 54904 - 0
Telephone Number 582-0303
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 ofInspection 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,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
[(vou are a contractor Darticipatin~ in the Permit Fee Account Svstem and have adequate funds. check here
i(vou want this Drocessed throu~h YOUr account D. .
DATE ;;)-d-(-OL
JOB ADDRESS i 3 3 ~ W \ f\jl\) c\:,Q G 0
OWNER,CJ\\-..)\)'y ~\C)k ~\.)E.\2-
.. CONTRACTOR ~ ~ t--\ ~ \,..L c...-rT2..\L
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
OMuIti-Family
DRentaI
o Commercial
DIndustrial
'SERVICE ONew
OChange
OTemporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles # 3
Switches # 3
Circuits # '-I
FixtUres # d-
. V tilts
:phase
!\mps
CHECK la ALL APPLICABLE
ORange
~an OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
OGarbage Disposal
ONC
DOther
.r8Jbryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~ J L'vJ ( ~"* !:'\{"')(>, ~ ~~\A j L Au t0~'?:-- Y .
l\~T(f:CJ..N 'GO~\or) ; u.lA.SHfR. '#1:>t-'i~( \?~L.)\JA\J\"TY b1=(;~ :efCS\=>
\ JAU IT't' J-....\..
. ('0.. ~moD
. VALUE (Including labor and all materials including light f"cdures) $ ~ _...Lv
MASTERELECTRICIAN ~.~ ~~
3/02