HomeMy WebLinkAbout0124156-Electric
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OSHKOSH
ON THE WATER
Job Address 13 W BENT AVE
CITY OF OSHKOSH
No
124156
ELECTRIC PERMIT -APPLICATION AND.RECORD
Service
b New
o Change 0 Temp
Owner JULIE K HENDERSON <;:reate Date 04/02/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 2 . Luminaires 2
Switches 2 Receptacles 2
Contractor HOEHNE ELECTRIC
Volts
Amps
Appliances
Use/Nature of SFRI Converting an existing basement bedroom to a bathroom. A minimum of 7' ceiling height will be provided.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~
Date 04/11/2007
D Permit Voided I
Parcel Id # 1502960000
;
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 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
W599 STATE RD 21
BERLIN
WI 54923 - 8907
Telephone Number 9~0-361-7242
I
i
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), you'r 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.'
:::APr 05 07 04, 02p
:::City of Oshkosh
Division ofInspection SerVices
P.o. Box 1130
Oshkosh> WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
CURTIS HOEHNE 1-800-603-7242
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and feces) 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
normal permit fee, which ever is greater.
OR
l(vou are a contractor participatinf? in tire Permit Fee Account System and have adequate (Ill/ds, check here
ifvou want this processed throuf!/r your account 0
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JOB ADDRESS . /' -Lcr <6.
JL, (, e
OWNER
DATE
L-j-~/}-07
CONTRACTOR
CHECK It[ ALL APPLICABLE
~~ CATEGORY
~ingle Family DDuplex DMulti-Family
SERVICE ONew OTemporary
OChange ONot Applicable
DRental
DCommercial
OIndustrial
TYPE DOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Receptacles # cS.<
I
Circuits # ~.
Fixtures # ~
Volts
Phase
Amps
Switches # ~
CHECK It[ ALL APPLICABLE
ORange DDishwasher OGarbage Disposal ODryer DWater I-leatcr
OFan OR Blower o Furnace DAle DElectric Sign
o Motors OGas Pumps OOther
DESCRIPTION OF ALL WORKIlEING DONE . .'b;,l~ W-1200I,,-'1<-E'IV\Dt& l\~
MASTER ELECTRl
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