HomeMy WebLinkAbout0123577-Electric
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OSHKOSH
ON THE WATER
Job Address 823 HARMEL AVE
CITY OF OSHKOSH
No
123577
ELECTRIC PERMIT - APPLICATION AND RECORD
OWner
PERRY S/KELLEY K HANSEN
Create Date 02121/2007
Contractor
ZIMMER ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
..N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
~::atureof ISFR 1 ~IRE KITCHEN REMODEL **debt acct
I j
Fees: Valuation $1,500.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 02121/2007
o Permit Voided I
Parcelld # 1412140000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Os~kosh 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
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 (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 infoIlDlltion 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 pennit fee, which ever is greater.
OR
I ou are a contractor artlei atin in the Permi ee Account S stem and have ade .uate unds check here
if vou want this processed throuflh vour account
JOB ADDRESS ~ a 3 1-la. r me.., \ fA...; e.
. OWNER. Pe,r-('~ \-\o..D<3en.
. CONTRACTOR L' mm-ev- c\eG1-r-\' c
DATE~
CHECK ~ ALL APPUCABLE
~ CATEGORY
~ingle Family . DDuplex DMulti-Family
.'SERVICE. DNew DTemporary
DChange 9'Not Applicable
DRental DCommercial DIndustrial
TYPE DOverhead )fNot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
!>>hase
AmPs
I
Receptacles #
Circuits #
Switches #
Fixttires #
CHECK Ii:1 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORKBEINGDONE~ W ~ rE:- k~+c.h~ (e..xy\.~d.-e.-\
5 O()
. . VALUE (Including labor and all materials including light fixtures) $ \ 1 00. .
MASTER ELECTRICIAN
. ap{)\ i C (A.:h 01)
My ~hOhe..
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3/02