HomeMy WebLinkAbout0124526-Electric (misc corrections)
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OSHKOSH
ON THE WATER
Job Address 548 MADISON ST
CITY OF OSHKOSH
No
124526
ELECTRIC PERMIT.. APPLICATION AND RECORD
Owner
PHYLLIS M WATTERS
Create Date 02109/2007
Contractor
STUMPF ELECTRIC INC
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
4
o
Amps
Switches
Receptacles
."
.c. .
. ;. ~'-"-'~""~'.' .._"....
Appliances
Use/Nature of I FR /Install GFCI protection where needed per code, new light fixtures by front & rear entrances & sunroom, new vent flight in
Work bathroom, dryer wire, and correct other violations.
Fees: Valuation
$1,200.00
0rXAJ
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 05/01/2007
D Permit Voided I
Parcel Id # 0402830000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
2727 E BROADWAY DR
APPLETON WI 54913 - 0
Telephone Number 920-968-0285
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236--5050
Fax (920) 236--5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce$Sed.
. 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
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor Darticipatinf! in the Permit Fee Account Svstem and have adequate funds. check here
i(vou want this Drocessed throuf!h vou~ account 0 .
JOBADDRESS..:-54& }t1ad-(~ 5/-,
OWNER- Phyt ItS lIv~S_
'. CONTRACTOR .~rf\p-r t1::C+tC C. In C I
DATE L{-d5'-ffJ
CHECK e ALL APPLICABLE
US]jYCATEGORY
lDSingle Family DDuplex
OMulti-Family
ORental
OCommercial
OIndustrial
.'SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPEt:1OVdhead .DNotApplicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
'~ps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK e ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
DFan OR Blower OFumace ONC
OMotors DGas Pumps DOther
D...E...S. CRIP. .11. ON OF ALL.WORKBpN<7DO~. ~ JlU~ -
1J{1r11-.(Ju/) tlIna ~
DDtyer DWater Heater
DElectric Sign
. - VALUE (Including labor and aU
~cO.
P-
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