HomeMy WebLinkAbout0124848-Electric
G
OSHKOSH
ON THE WATER
Job Address 536 W 16TH AVE
CITi OF OSHKOSH
No
124848
ELECTRIC PE MIT- APPLICATION AND RECORD
.
Type
THOMAS R GOSPODAREK Create Date 05/17/2007
Service
Contractor BOWMAN ELECTRIC LLC
Vollts
Am IPs
Appliances
612 - Residential-Single Family Addition/R Plan
New
o Change 0 Temp
Luminaires
o Overhead
o Underground
Circuits
Switches
Receptacles
Use/Nature of Bath fan, shower light, double duplex recept.
Work
Fees: Valuation
Issued By:
~A~
$500.00
$0.00
Permit Fee Paid
$25.00
Date 05/17/2007
Parcelld # 1301290000
In the performance of this work I agree to perform all work purs ant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easeme trestrictions of which it is not a party, if you perform the work
dl9scribed in this permit application within an easement, the City strongly urges the permit applicant to conta~t the easement
holder(s) and to secure any approvals before starting such activity.
Signature
Address
914 W 12TH AVE
Date
WI 54902 - 0
Telephone Number 231-3106
To schedule inspections please call the Inspection Re line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access in 0 Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume t 'e project is ready at the time the request is received. Work may
continue if the inspection is not performed within two ~siness 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
ELECTRIC L PERMIT APPLICATION
All infonnatio Mter bold categories must be provided.
Incomplet applications will not be processed.
· Application(s) and fee(s) can be brought to Ci Hall, Room 205 or mailed to InsPection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing war without permit(s) will result in fees being doubled or $ I 00.00 plus the
nonna1 permit fee, which ever is greater. i
OR :
.l ou are a contractor artici atin in the ermit 'Pee Account S stem and have adeuate unds check here
l ou want this rocessed throu h ou;. accoiint 0
.JOB ADDRESS
OWNER.
CONTRACTOR
S 3c;,
io~
DATE
05';10 7
t....)~
CHECK Ja ALL APPUCABLE
\~TEGORY
5'Single Family . DDuplex
SERVICE DNew DTemporary
. DChange ~pplicable
ORentaI
o Commercial
OIndustriaI
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH ! .
. Volts
:rhase
A-mps
I
Circuits #
Fixtures #
CHECK Ja ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFumace
DGas Pumps
ODtyer OWater Heater
OElectric Sign
s~$.
. . VALUE (Including labor and all materials including Ii h~ IlXtures) $ .5~
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MAsTER ELECTRICIAN I
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3/02