HomeMy WebLinkAbout0123733-Electric
G
OSHKOSH
ON THE WATER
Job Address 100 STONEY BEACH RD
CITY OF OSHKOSH
No
123733
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JAN VISTE REV TRUST
Create Date 03/07/2007
Contractor
MY ELECTRIC CORP
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
--I
Use/Nature of SFR 1 WIRE BATHROOM REMODEL
Work
Fees: Valuation $500.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 03/07/2007
D Permit Voided I
Parcelld # 1414710000
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 perm;t~9PPJ.ie.ati an easement, the~ strongly urges the permit applicant to contact the easement ~i
holder(s) and to'Setlre'1!Iny ~ssary a ovals befo.r:e~arting such ~
/-"f ,~-"~,. /"'" ___,__",~n._'
Signature _././ Date )' 0 7
{
Agent/Owner
Address
1512 RUGBY ST
OSHKOSH
WI 54902 - 6360
Telephone Number 920-231-0707
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 of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
O'~ THE 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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 0
DA TE3/7/07
JOB ADDRESS 1 00 Stoney Beach Rd.
OWNERJan Viste
CONTRACTORMY Electric Corp.
CHECK Ii! ALL APPLICABLE
USE CATEGORY
IZISingle Family
SERVICE []New
OChange
DDuplex DMulti-Farnily
DTemporary
DNot Applicable
DRental DCornmercial DIndustrial
TYPE DOverhead DNot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I
Phase
Amps _
Receptacles #_
Circuits #_
Switches #_
Fixtures #_
CHECK Ii! ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
OFumace
DGas Pumps
OGarbage Disposal
ONC
o Other
DDryer []Water Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE_
Remodel bathroom
S-O 0... 0 d
VALUE (Including labor and all materials including light f"mures) ~
MASTER ELECTRICIAN