HomeMy WebLinkAbout0124927-Electric (deck)
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OSHKOSH
ON THE WATER
Job Address 1514 OREGON ST
CITY OF OSHKOSH
No
124927
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
HAFERMAN PROPERTY MANAGEMENT LI Create Date OS/23/2007
Contractor
B & H ELECTRIC
Category 643 - Commercial-Addition/Remodels
Volts
Circuits
Type 0 Overhead
2
Plan
o Underground
Service
o New
o Change 0 Temp
. N/A
Luminaires
2
4
Amps
Switches
Receptacles
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Appliances
Use/Nature of COMM / Wire deck.
Work
Fees: Valuation
$500.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date OS/23/2007
o Permit Voided I
Parcelld # 0304880000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
~. '$~
Signature ~ ~. (;'61 '
....... AgenUOwner
Date 5- 2.. <.: --07
Address
5421 NICKELS DR
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 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 perm.it(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
If vou are a contractor particiDatinf! in the Permit Fee Account System and have adeouate funds. check here
ifvou want this Drocessed throuf!h your account 0' "
.JOB ADDRESS
OWNER. :t
CONTRACTOR
16 li.f
~ O.tt-~JD"J CST
V6T6S bALAGt bAL
,& ~ r+ 6LCC1 eJr~ .
DATE :S
.2-.3-, 07
CHECK g ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustriaI
,.SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles # 4-
Circuits # 2. .
. Volts
:phase
~mps
Switches #
Fixtttres # 2-
CHECK ~ ALL APPLICABLE
DDishwasher
OFumace
DGas Pumps
DESCRIPTION OF ALL WORK BEING DONE
ORange
OFan OR Blower
OMotors
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
j 6C-C 1/0 (C.t -0 G
. . VALUE (Including labor and all materials including light fixtures) $ ~ t') 0. D D .
'~ i ~~/,p
MASTER ELECTRICIAN _~ C?"'.: ()/4:~'A .J..
3/02