HomeMy WebLinkAbout0124867-Electric (whirlpool)
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OSHKOSH
ON THE WATER
Job Address 890 GREENFIELD TRL
CITY OF OSHKOSH
No
124867
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner
JAMES/PATRICIA J LITKE
Create Date 05/18/2007
Contractor
T RUCK ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
AppHances
,
Use/Nature of SFR /Install GFI circuit for Whirlpool tub.
Work
Issued By:
$300.00
ant/D
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Date 05/18/2007
o Permit Voided I
Parcelld # 0613730000
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
AgenUOwner
Address
690W 3RDAVE
OSHKOSH
WI 54902 - 5880
Telephone Number (920) 233-7191
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.
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City of OsiL'kosh
Division of Inspection Services
P,O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 136-5084
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O-,fHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
An information after bold categories must be provided.
Incomplete applications will not be processed.
. Apphcation(~~ and fee(s) can be brought to City Hall, Room 205 or mailed to lrn;pection Services, PO Box 1128,
Oshkosh WI 5A9;J3-1128. Commencing work without permit(s) will ;result in fees being doubled or $100.00 plus the
norma] permit fee, which ever is greater.
OR
If vou are a contractor partjcivating in the Per:mit Fee Account Svstem and have adequate funds. check here
ifyau want this processed through va!.'r account 0 . .
DATE.Mi<C.f I t I efl
JOB ADJORESS__~_...L~~) ~.
OWNER~J6. _
CONTRACTOR~ ~ 1r_~ ~c.l-rt.{c...,
..,1/
CHECK 0 ALL APPLICABLE
I ?Jc,.
D,S S~E "ATJEGORY
~ngle Family DDuplex
o Multi-Family
o Rental
OCommercial
o Industrial
SERVICE ONew
DChange
OT emporary ...
~ A,.pplicable
TYPE []Overhead
DUndergr:ound
~t Applicable
FILL IN THE, APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps _
I
Receptacles #-t-
Circuits #
r
Switthes #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
IOFan OR Blower
DMotors
DDishwasher
o Fumace
DGas Pumps
OGarbage Disposal
DAle
OOther
?~ 4+4 @~o:~
~~L ::J~h .
DDryer
DElectric Sign
OWater Heater
DESCRIPTION OFALI. 'YORK BEING nONE.
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o101
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