HomeMy WebLinkAbout0124845-Electric (garage)
G
OSHKOSH
ON THE WATER
Job Address 664 BOWEN ST
CITY OF OSHKOSH
No
124845
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner BARON PERLMAN ETAL Create Date 05/17/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A ~ Type o Overhead o Underground
Circuits Luminaires 4
Switches 2 Receptacles 4
Contractor ELECTRICAL CONTRACTING SPECIALI
Service
ONew
120/240
Volts
Amps
20
Appliances
Use/Nature of SFR\ Wiring detached garage.
Work
$700.00
Plan Approval
$0.00
Permit Fee Paid
$39.00
Fees: Valuation
Issued By:
~K
Date 05/17/2007
D Permit Voided I
Parcelld # 1102160000
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 ~-c ~ c- Date
Agent/Owner
Address
PO BOX 42
BERLIN
WI 54923 - 42
Telephone Number 920-428-7000
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 atthe 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
Pbone-(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
nonnal pennit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
ifvou want this Drocessed throuf!h YOUr account 0
DATE
3/;7/07
f f
JOBADDRESS ~~ i ~.-
OWNER - J1.,.~ ~.('>~ ;L- / ----
CONTRACTOR ~.~;;
CHECK Iif ALL APPLICABLE
USE CATEGORY
)29single Family
I
..SERVICE DNew
DChange
DDuplex
OMulti-Family
ORental
o Commercial
o Industrial
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
- Volts I Receptacles # . 9" Circuits # ('
:phase . ,
:2- Y
A-mps Switches # FixtUres #
CHECK Iif ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAle
DOther
DDryer tJWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE l':e.L-I J- .(u-.-r~' -- &J"~
_- VALUE (Including labor and all materials including light nxtures) $ j{)i)
MASTERELECTRICIAN ~ Y2'
3/02