HomeMy WebLinkAbout0124394-Electric
G
OSHKOSH
ON THE WATER
Job Address 2117 MOUNT VERNON ST
CITY OF OSHKOSH
No
124394
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner Create Date 04/24/2007
Contractor BUD'S ELECTRIC LLC
Category 611 - Residential-New Single Family Wirin Plan
o Change 0 Temp
ON/A
Type Q Overhead
. Underground
Service
~-New
120/240
Circuits
Luminaires
Volts
Amps
200
Switches
Receptacles
Appliances iRciilge, Dishwasher, garb. disp., dryer, furn, fans.
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Use/Nature of [SFR\ NSFR'
Work I
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Fees: Valuation
$3,990.00
Plan Approval
$0.00
Permit Fee Paid
$111.00
Issued By:
Ylrtd.
Date 04/24/2007
o Permit Voided I
Parcelld # 1515980000
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 s cure any pprov I ef re starting such activity. . / . /
Signature Date t.j / ;?t..j /6 7
Agent/Owner 7 "7
Address
825 HARBORVIEW CT
---"--.-....----
OSHKOSH
WI 54901 - 1642
Telephone Number 920-420-3751
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 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 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 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 pennit fee, which ever is greater.
OR
Ifvou are a contractor particiDatinf! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this Drocessed throuf!h your account 0 - -
DATE L( /2-L! /0 I
I /'
JOB ADDRESS 2-117 fY(T U el2J1 ('J t/)
~- fJ1t f3r;,f (
OWNER- II........
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~ds .- L-L- c..
CONTRACTOR f-iJeL-112-lC-
CHECK Ia ALL APPUCABLE
USE CATEGORY
~Single Family
_- SERVICE_ glNew
OChange
DDuplex
OMulti-Family
ORental
o Commercial
o Industrial
OTemporary
ONot Applicable
TYPE OOverhead
~nderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
_ Volts f 2D {240
:phase I
AmPs ;J oD
Receptacles #
Circuits #
Switches #
FIXtUres #
CHECK Ia ALL APPLICABLE
- fZJRange
OFan OR Blower
DMotors
J2fDishwasher
l21Fumace
DGaS Pumps
,0Garbage Disposal
JZfNC -
DOther
J2IDryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE I/!Sf)) (' t1p/1/ST 12 uc- T/ D j/)
_ - VALUE (Including labor and aU materials including light ia:tures) $ 3990 -- 0 U
MASTER ELECTRICIAN :7Ji'FF JluD50tIJ 1s-o 7 0 ~
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3/02