HomeMy WebLinkAbout0123895-Electric (kitchen)
Je
V;" OSHKOSH
ON THE WATER
Job Address 810 GRACELAND DR
CITY OF OSHKOSH
No
123895
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KIM M TIERNEY
Create Date 03/02/2007
Contractor
ROYAL ELECTRIC INC
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
.. ..~
Use/Nature of SFR\ Kitchen remodel.
Work
tb,' '" '
Fees:, Valuation
Issued By: I};(<.
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 03/23/2007
o Permit Voided I
Parcelld # 0617580000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.'
While the City of Oshkosh has no authority to enforce easement restrictions of which iUs not a party, if you perform the work
described in this permit application within an easeme.p!- th~.9'tYst~ngfy urges the permit applicant to contact the easement
holder(s) and to secure any nece~~ry approval?b.~.','fO"r~5.ta.'~.p., g;%uch activity.
/' .e.. .// /~
Signature /~./ f_/'Cr-/'/ Date
/// /,;?/ .... ./'w Agent/Owner -----., ,
,/ ','
640 MOASIS DR ///
5/Z7
I
Address
LITTLE CHUTE WI 54140 - 0
Telephone Number
920-788-8800
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is,ready.
~ City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce$Sed.
· 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 withoutpennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
Ifvou are a contractor particiDatinf! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this Drocessed throuf!h vour account D. ,
oJ /7 7/07
I I
01"C1 cc~,;.j
DATE
JOB ADDRESS f I 0
OWNER ' Gl-~ y
CO~CTOR I ~ov41
f
C~Cir{L
CHECK fa ALL APPLICABLE
., ,
USE~CfORY ,
GSmgle Family DDuplex DMulti-Family
ORental
DCommercial
DIndustrial
'SERVICE DNew
o Change
DTemporary
DNot Applicable
TYPE OOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Valts
:fhase
Amps
Ilc> / 20'75
(,b
700
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
~hwasher
DFurnace
OGas Pumps
DGarbage Disposal
DAle
DOther
ItI-cic~
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
(-tilv'ot (
. ' VALUE (Including labor and all materials including light iIXtures~ (;00
, ~/''l/~
MASTERELECTRICIAN ~ /ij/$
/ -.;7"/,:7' --
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3102