HomeMy WebLinkAbout0124926-Electric (garage)
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OSHKOSH
ON THE WATER
Job Address 629 W 17TH AVE
CITY OF OSHKOSH
No
124926
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARILYN D MORRISON
Create Date OS/23/2007
Contractor
B & H ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
120/240
Circuits
Type 0 Overhead
3
2
o Underground
o Change 0 Temp
. N/A
Volts
Luminaires
3
5
Amps
40
Switches
Receptacles
Appliances
Use/Nature of SFR / Garage subpanel & wiring.
VVork I
Fees: Valuation
~o.oo
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date OS/23/2007
D Permit Voided I
Parcelld # 1406100000
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.
~ ' .~ i:t:::::.
Signature' lAA--..> ~ .
Date
~ -::23 - cY7
Address
5421 NICKELS DR
Agent/Owner
OSHKOSH
WI 54904 - 9530
Telephone Number 582-0303
/
~"
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 infonnation 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 Setyices, 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
Ifvou are a contractor DarticiDatinrr in the Permit Fee Account System and have adea,uate funds. check here
ifvou want this Drocessed throurrh your account 0' ,
DATE '5" c;:> ;5,- (') "1
JOB ADDRESS (p;).. 9 (0 / '/ +t".
OWNER . H to. t> A) ytJ/vlo f2J2/ L,(lN
'CONTRACTOR g 1'/-1 ~ L l CT(l/('.
CHECK 6ZJ ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
OMulti-Family
ORental
DCommercial
o Industrial
SERVICE, DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
~mps
/2(.') 12.<10
//
-
'-10
Receptacles #
c:
:::>
Circuits # _:S
Switches #
2
Fixtures #
~?
~~
CHECK 6ZJ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE r.,N i? 19/..,. [,
<,u8 AflNE-L q W/~/N b
VALUE (I . </'lA, 00
. ' neluding labor and all materials including light f'IXtures) $ ~ V'V
:-:;) '~ '
MASTER ELECTRICIAN :::!> /\~ :!5 c~
3/02