HomeMy WebLinkAbout0125126-Electric
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OSHKOSH'
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
!
No
125126
Job Address 1025 HARNEY AVE Owner RONALD T SCHIMKE Create Date 06/04/2007
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Contractor APEX ELECTRICAL SOLUTIONS INC Category 612 - Residential-Single Family Addition/R Plan
Service p New o Change o Temp . N/A Type o Overhead o Underground
Volts 120/240 Circuits 7 Luminaires 6
Amps 100 Switches 13 Receptacles 25
Appliances fjishwasher, garbage disposal
Use/Nature of SFR / REMODEL KITCHEN - DINING AREA
Work
Fees: Valuation $600.00
Issued By: ~ ~
. . V
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 06/04/2007
o Permit Voided I
Parcelld # 0805690000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfor"") the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
N7926 LAKE BREEZE DR
Agent/Owner
SHERWOOD WI 54169 - 9623
Date
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Address
Telephone Number 920-989-9073
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
.~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees be$g doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor varticivatinf! in the Permit Fee Account Svstem and have adeQuate funds. check here
if vou want this processed through your account 0 '
DATE 6 '.1- & '1
JOB ADDRESS I (JJ..S (lfJf&tcY
OWNER AcJfotr .:r f~'Mflt I ~tJ J~HlrV\~f..
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CONTRACTOR fifE-X (;L&:lt<.'CA\.s;,"vT~~"~ j}Jc-
CHECK ItJ ALL APPLICABLE
USE CATEGORY
.,EI'Single Family ODuplex
OMulti-Family
o Rental
DCommercial
DIndustrial
SERVICE ONew
~hange
OTemporary
DNot Applicable
TYPE ~Overhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
J~
I
J()l7
fltf(J
Receptacles # :zS'
Switches # I :J
Circuits, # 7
Fixtures # "
CHECK ItJ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
~Dishwasher
o Fumace
OGas Pumps
)2fGarbage Disposal
DAlC
DOther MICKY4AYC
DDryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE 1{t:M09/Jt<.. /(;'i'I'W If) J ,.II,.J;' J)REA
VALUE (Including labor and all materials including light fixtures) $ b Of) '"
MASTER ELECTRICIAN ~ "At!
3/02