HomeMy WebLinkAbout0124523-Electric
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OSHKOSH
ON THE WATER
Job Address 2301 HARRISON ST
Contractor VAN ERT ELECTRIC CO INC
CITY OF OSHKOSH
No
124523
ELECTRIC PERMIT.. APPLICATION AND RECORD
Service
p New
o Change 0 Temp
Owner SUSAN K REQUE Create Date 04/19/2007
Category 612 - Residential-Single Family AdditionlR Plan
. N/A Type o Overhead o Underground
Circuits 5 Luminaires 10
Switches 5 Receptacles 15
Volts
Amps
Appliances
Use/Nature of SFRI Remodeling the kitchen, bathroom, and dining room.* All three rooms will be relocated to provide an open concept floor plan.
Work Beam/header calculations will be required on site prior to the rough framing inspection. All loads are required to be
Fees: Valuation
$800.00
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
~
Date 05/01/2007
D Permit Voided I
Parcelld # 1517750000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888
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.
i 04/30/07 14:54 FAX 920 766 0883
City of Oshkosh .
Division ofInspection Services
P.O. Box 1130
.. Oshkosh, WI 54903-1130
Phone (920) 236~5050
Fax (920)236-5084
VAN ERT ELECTRIC
141 001
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must he 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 S4903-11~8. 90mmencing work without pennit(s) win result in fees being doubled or $1'OO.Op plus'
.normal permit fee, which ever is greater. .
OR
ee Accoun.t S
check h.
JOB ADDRESS ~I 4m ''51Jr\
OWNER ~ f?~
CON~CTORYGYt, fA fJlAnL.-- Co./lnL
DATE
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CHECK er ALL APPLICABLE
~ CATEGORY .
~ingle F~ily qDuplex . o Multi-Family ,
SERVICE DNew DTexnporary
o Change ONot Applicable.
DRentaI
o Commercial o InduStrial
TYPE DOverhead DNot Applicable
DUnderground.
FJLL IN THE APPROPRIATE BLAJ'CK WITH TBE NUMBEg
Volts '.
Phase
Amps
f
Receptacles # . IS-
SwitcJ;i.es # 0
Circuits #
5"
/6
Fixtures #
CHECK /iJ ALL APPLICABLE
~Range ~ishwasher ~arbage Disposal
OFan OR Blower DFumace DAle
o Motors DGas Pumps DOllier
DESCRIl'TIONOF~WORKBEINGDONE 1:fJ.;~j . ~. ~~~
o Pryer o Water Heater
DElectric ~ign
i2u1lcdR P
MASTER ELECTRICIAN
. .
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Y ALUE (Including labor and a.ll ma.teria.ls including light fixtures) $!otJ.OO
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f8JD40--AfJ.. ~rr\lJ fu {$ 40,DO
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