HomeMy WebLinkAbout0124018-Electric (fire repair)
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OSHKOSH
ON THE WATER
Job Address 1224 WINNEBAGO AVE
CITY OF OSHKOSH
No
124018
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JEFFREY M ARMSTRONG
reate Date 03/20/2007
Service
o New
120/240
o Change 0 Temp
. N/A
Type
Overhead
Underground
Contractor
BULLSEYE ELECTRIC INC
Category 612 - Residential-Single Family Addition/R
Volts
Circuits
luminaires
6
35
Amps
100
Switches
10
Receptacles
Appliances
Use/Nature of FR\ Repairs following fire. Replace wiring from south kitchen wall north. Correct wiring violations (support of abies and boxes) in front
Work rooms.
'\
Fees: Valuation $1,500.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
Date 04/02/2007
o Permit Voided I
arcel Id # 0203560000
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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme t
holder(s) and to sec ny nec ov s before starting such activity.
Signature
Date
<if- d-c;1~
Address
2547 NEKIMI AVE
AgenUOwner
OSHKOSH
WI 54902 - 8855
Telephone Number (20) 420-2400
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 ofInspection 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 Servi es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doub ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici at in in the Permit Fee Account S stem and have ade check here
if yOU want this vrocessed through your account 0
DATE q.. ~ o?
JOBADDRESS l~d4' ~.r~tN,l8Ad,eJ ~.
OWNER ~pp 4~"''':sr)i!C!5.AJe;
CONTRACTOR ~~ ':$~'Y"(!!!' <!:r1l!~J1!.:rt.!- SZG.
CHECK 0 ALL APPLICABLE
USE CATEGORY
lQSingle Family ODuplex
OMulti-Family
ORental
OCommercial
o Industrial
SERVICE ONew
OChange
o Temporary
tilJ'.lot Applicable
TYPE OOverhead
OUnderground
I8N t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~ I ;>41!!>
Phase /
Amps /~O
Receptacles # g -S-
Switches # /d
Circuits #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
!m<'an OR Blower
DMotors
l8'Dishwasher
OFurnace
OGas Pumps
OGarbage Disposal
OAlC
OOther
ODryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
_~~ Ar~~ n
VALUE (Including labor and all materials including light fIXtures) $ / 'S"ec. ~ ~11 '7'7. 0)
_fl ~~ ~
MASTER ELECTRICIAN ~ ~
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