HomeMy WebLinkAbout0125010-Electric (exterior)
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OSHKOSH
ON THE WATER
Job Address 1117 ARTHUR AVE
CITY OF OSHKOSH
No
125010
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
LANCE WrrRACI L LUFT
Create Date OS/29/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A
Type 0 Overhead
o Underground
Circuits
Luminaires
Switches
Receptacles
Use/Nature of SFR / Reattach exterior lights, outlets and AlC disconnect.
Worll<
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~~
Date OS/29/2007
o Permit Voided I
Parcel Id # 1605090000
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
Agent/Owner
Address
PO BOX 311
DALE
WI 54931 - 311
Telephone Number 920-779-6989
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
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ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Appiication(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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. .
OR
If yOU are a contractor participatinr;: in the Permit Fee Account System and have adequate funds. check here
if ~ou want this processed through ",our account 0 .
DATE ir-/aS.-:-!07
I /
JOB ADDRESS 1117!fr!iJ(JA s-f,
OWNER ~~r=~
CONTRACTOR . .. !Ef:::/RjL-
CHECK Ii'! ALL APPLICABLE
US~ATEGORY
19S"ingle Family ODuplex
DMulti-Family
ORental OCommercial DIndustrial
TYPE OOverhead ~t Applicable
OUnderground
SERVICE ONew
DChange
OTemporary
rm<fut Applicable
FILL IN THE APPROPRIATE BLANK WJm THE NUMBER
Volts
Phase.
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK Ii'! ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
j(AlC
~dOther
ODryer DWater Heater
DElectric Sign
o
DESCRIPTION OF ALL WORK BEING DONE
/32i.- 0 5
VALUE (Including labor and all
MAY 2 9 2007
DEPARTMENT OF
COM'MUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
MASTER ELECTRICIAN
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