HomeMy WebLinkAbout0125032-Elecric (2nd fl)
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OSHKOSH
ON THE WATER
o Change
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECdRD
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Category 623 - Residential-Duplex Addition/Rem~d€ Plan
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: 0 Underground
I~ Luminai...
Receptacles
No
125032
Job Address
2003 N MAl N ST
Owner
DOUGLAS A DAHLKE
Create Date 05/30/2007
COl1ltractor
BOWMAN ELECTRIC LLC
Service
D New
o Temp
. N/A
Type
o Overhead
Volts
Circuits
Amps
Switches
Appliances
Use/Nature of DUP\ Move panel to 2nd floor & rewire 2nd floor aptmt.
Work
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Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
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Date 05/30/2007
o Permit Voided I
Parcelld # 1514970000
I n the performance of this work I agree to perform all work pursuant to rules governing the described construction. I
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfor~ the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
h~lder(S) and to secure /y e ary approvals before starting such activity. i.. vY~.
Signature ! Date_S tJ ?
Agent/Owner ! /
Address
914 W 12TH AVE
OSHKOSH
WI 54902 - 0
Telephone Nur>>ber231-3106
To schedule inspeclions please call Ihelnspection Requesl line at 236-5128 noting Ihe Add....1 Pe'mil Numbe'. 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 ifthe inspection is not performed within two business days from the time the project il? ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
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OJHKOfH
ON THF WATER
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ELECTRICAL PERMIT APPLICATION'
All information after bold categories must be provided. I
Incomplete applications will not be processed. I
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectil~ Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees beihg doubled or $100.00 plus the
nonnal permit fee, which ever is greater. !
OR I
[fvou are a contractor particilJatinf! in the Permit Fee Account Svstem and have adeauate funds. check here
;fyou wont this orocessed throueh Eour account 0 : ~,/
DATE 5C~?
JOB ADDRESS 2{l) () 3 AI. /It&-, ! /'-- I
'. :::cr~ow ~~ I ~e<lr} '---
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DCommebial
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TYPE DOverhead i DNot Applicable
DUnderground .
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Circuits 1
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FixtUres W
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DDryer I DWater Heater
DElectri1 Sign
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;::t:- I 2 (L ~YJ"L
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CHECK &:J ALL APPLICABLE
USE CATEGORY "'-.. /
tJSingle Family l2IDuplex
DMulti-Family
DRental
..SERVICE DNew
DChange
pTemporary
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
::phase
:Amps
Receptacles #
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Switches #
CHECK &:J ALL APPLICABLE
ORange
OPan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
o Other
DESCRIPTION O~. ALL 'W:,
~ ijfE~P DONE
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. . VALUE (Including labor and all materials including light f"IXtures) $ 2Z.~
MASTER ELECTRICIAN ~
DIndustrial
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