HomeMy WebLinkAbout0124315-Electric (corrections)
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OSHKOSH
ON THE WATER
Job Address 353 W 12TH AVE
CITY OF OSHKOSH
No
124315
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
WILLIAM C SCHLEICHER
Create Date 04/19/2007
Contractor
REMEDY ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of iCon-ect violations noted by a Home Inspector
Work i
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Fees: Valuat~n, C==~$975.00 Plan Approval
lssuodBy, ~\S~
D Permit Voided I
$0.00
Permit Fee Paid
$60.00
Date 04/19/2007
Parcel Id # 0903870000
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.
Slgnalma 9~ . AgenYOwne,
Address 1018 RAN LIE ST OSHKOSH
Date
/{:""(f- 07-
WI 54904 - 7748
Telephone Number 920-379-9331
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.
l::'
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce~ed.
. 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor varticipatinf! in the Permit Fee AccountSvstem and have adeQuate funds. check here
if yOU want this lJrocessed throuf!h your account 0
N.
JOB ADDRESS 353 .. /2.. -n-+ AvE:-
OWNER. 8 i/. L r '5/yj L Gi clkoR
CONTRACTOR 11 ;;;/lIl~1)y 8.--ECr7~.{c. lLc
DATE 4-/~-o~
CHECK It( ALL APPLICABLE
~E CATEGORY
~ingle Family DDuplex DMulti-Family
SERVICE ONew OTemporary
. OChange ~ot Applicable
ORental
o Commercial
o Industrial
TYPE OOverhead ~ot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
. Volts
:fhase
Amps
Switches #
Fixtttres #
CHECK if ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE OnIl/2~.Ct-'h ad l'Jl= (SS i( (?;S
ft-;t()IG~ I").v /::brJe /1l/:JjJtf:C'r7 iJ",/ ;te-f'O/G't-
.. VALUE (Including labor and all materials including Ught f'o:tures) $
. MASTER ELECTRICIAN ?.:~
C;Z5<;Y
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