HomeMy WebLinkAbout0124221-Electric (bedroom addtion)
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OS~KOSH
ON THE WATER
Job Address 475 OLSON AVE
CITY OF OSHKOSH
No
124221
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RESIDENTIAL SERVICE MANAGEMENT
Create Date 04/13/2007
Service
o New
o Change 0 Temp
. N/A~
Type 0 Overhead
Plan
o Underground
Contractor
ELECTRICAL CONSTRUCTION SERVICI
Category 643 - Commercial-Addition/Remodels
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of K::SRF / Small bedroom addition
Work
Fees: Valuatip~: $725,00 Plan Approval
l55uedBy. -'C3~
o Permit Voided I
$0.00
Permit Fee Paid
$46.00
Date 04/13/2007
Parcel Id # 1250060000
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 per plicati .. an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec ss ry ap ovals before starting such activity.
Signature Date
Agent/Owner
Address
125 W 21ST AVE
OSHKOSH
WI 54902 - 7032
Telephone Number 920-252-2770
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 o(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 infonnation 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 without pennit(s) will result in fees being doubled or $100.00 plus the
nonna! pennit fee, which ever is greater.
OR
If vou are a contractor participatine in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throuf!h vou;. account 0, - .
DATE Y -10 -0"7
JOB ADDRESS 475 O~ ME-.
OWNER .C_t~,-~ ~ ~F,
- CONTRACTOR ~~S \,....~e..
CHECK fa ALL APPUCABLE
USE CATEGORY
OSingle Family
DDuplex
DMulti-Family
ORentaI
TYPE
prCommercial DIndustrial
DOverhead DNot Applicable
OUnderground
:SERVICE DNew
DChange
DTempormy
DNot Applicable
- FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
, Volts
:rhase
-Amps
Switches #
Fixtures #
CHECK ItJ ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
ODryer tJWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE .~~~ ~~~~'"tl~ i -r...G~
~~ '~~~-'_ \)l~'L\ttJ, _ -
.' , VALUE (Including labor and all materi including light f"Ixtures) $ "12.$'.00
- ~
MASTER ELECTRICIAN i
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