HomeMy WebLinkAbout2007-Electric (wiring)
e
OSHKOSH
ON THE WATER
Job Address 436 N MAIN ST
CITY OF OSHKOSH
No
123926
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
. N/A
Overhead
03/26/2007
Owner
JEROME C RA TCHMAN
Contractor
MY ELECTRIC CORP
Category 643 - Commercial-Addition/Remodels
Type
Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of COMM / Relocate wiring for wall removal. Install new wall receptacles.
Work
Fees: Valuation
Plan Approval
$0.00
Permit Fee Paid
$32.
Issued By:
Date 03/26/2007
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming 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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme t
hO.lder(S) andto~secureany necess. a fUn:, "laft~such activity.
~ ------~ Date
Signature /'
Agent/Owner
Address
1512 RUGBY ST
OSHKOSH
WI 54902 - 6360
Telephone Number 9 0-231-0707
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permi Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo r Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rec ived. 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
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 Se ices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do bled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I au are a contractor artici atin in the Permit Fee Account S stem and have ade unds check here
if you want this processed throuf!h your account 0
JOB ADDRESS436 N. Main St.
OWNER Camera Casino
CONTRACTORMY Electric Corp.
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICEDNew
DChange
DDuplex DMulti-Family
DTemporary
DNot Applicable
DRental [2JCommercial Dlndustrial
TYPE DOverhead Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I
Phase
Amps _
Receptacles #_
Circuits #_
Switches #_
Fixtures #_
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther _
DDryer DWater Heater
DElectric Si n
DESCRIPTION OF ALL WORK BEING DONE_
Relocate wiring for wall removal. Installation of new wall receptacles.
MASTER ELECTRICIAN
6
~~
~Ii)
\
VALUE (Including labor and all materials including light fixtures) ~a:::>. ~