HomeMy WebLinkAbout0124222-Electric
~e
OSHKOSH
ON THE WATER
Job Address 1609 OREGON ST
CITY OF OSHKOSH
No
124222
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
STEVEN M MATHISON/ANNA KRUEGER Create Date 04/13/2007
Category 623 - Residential-Duplex Addition/Remode Plan
Contractor
ELECTRICAL CONSTRUCTION SERVICI
Service
QNew
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
I
I
L_
Use/Nature of puplex! Bath and laundry remodel* to include re-Iocating the 1 st floor bathroom to a 2nd floor bedroom and converting the existing
Work Ibathroom on the 1st floor to a laundry room.
I
I
I
L
Fees: . Valuation $900.00 Plan Approval
~uodBy, -v~
$0.00
Permit Fee Paid
$53.00
Date 04/13/2067
o Permit Voided I
Parcelld # 0902300000
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 work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s cur any app.rovals before starting such activity.
'-
Signature
Date
Address
125 W 21ST AVE
Agent/Owner
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 (Le. 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 infonnatioD after bold categories must be provided.
Incomplete applications will Dot be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed t~ Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s) will result in fees being doubled or $100.00 plus the
Donnal pennit fee, which ever is greater.
OR
Hvou are a contractor "articipatin~ in the Permit Fee Account Svstem and have adeo.uate funds. check here
if you want this "rocessed throuf!h vour account D. .
DATE e.J-13-b '7
JOB ADDRESS \loc9 07 '1 Gc~ '5\
OWNER. 5\~\7 _ {'{\A-~~~
. CONTRACTOR ~<~S_ h~L
CHECK Ii! ALL APPLICABLE
USE CATEGORY ~
OSingle Family ~uplex DMulti-Family
." SERVICE ONew DTemporary
DChange DNot Applicable
DRental
o Commercial
DIndustrial
TYPE DOVerhead
OUnderground
DNot Applicable
" FILL INTBE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
. Volts
:phase
. Amps
Switches #
FIXt1tres #
CHECK Ii! ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
DFumace
OGas Pumps
DGarbage Disposal
DAlC
DOther 1t.J AoSI.-\ ~ ~<c...-
J2n:>ryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~
~~ ~'oI'~~
~~\ ~'L~c..L e..,~1...~~ \ ~W~
.' . VALUE (Including labor and all "'tals incl
MASTERELECl'RICIAN .~
.~53~
UQ2