HomeMy WebLinkAbout0125188-Electric
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OSHKOSH
ON THE WATER
Job Address 742 VINE AVE
CITY OF
No
125188
ELECTRIC PERMIT - APP ICATION AND RECORD
Service
p New
120/240
. Change 0 Temp
Owner Create Date 03/06/2007
Category esidential-Single Family Addition/R Plan
ON/A Type . Overhead o Underground
Circuits 2 Luminaires
Switches 2 Receptacles 9
Contractor BULLSEYE ELECTRIC INC
Volts
Amps
100
Appliances
Use/Nature of SFRI Remodeling the interior* to include revising the floor plan to c ate 3 bedrooms. The interior door in the front bedroom shall be
Work quipped with NON-locking hardware on the interior door as this will serve as the 2nd exit. Smoke detectors.
Fees: Valuation
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 06/06/2007
D Permit Voided I
Parcelld # 0502980000
In the performance of this work I agree to perform all work pursuant to rules gov ming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of ich it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges e permit applicant to contact the easement
holder(s) and toSZZec.ur- necess ap als b fore starting such activity.
v c ~
Signature " ~ Date C;;; - C -67
AgenUOwner
Address
2547 NEKIMI AVE
OSHKOSH
WI 54 02 - 8855
Telephone Number (920) 420-2400
To schedule inspections please call the Inspection Request line at 36-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if ecure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is eady at the time the request is received. Work may
continue if the inspection is not performed within two business da from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (92()) 236-5()50
Fax (920) 236-50M
~
OfHKOfH
ON THE WATER
ELECTRICAL PER IT APPLICATION
An information after bold cat gories must be provided.
Incomplete applications 'n not be processed.
205 or mailed to Inspection Services, PO Box 1128,
't(s) will result in fees being doubled or $100.00 plus the
. Application(s) and fee(s) can be brought to City Hall, Roo
Oshkosh WI 54903-1128. Commencing work without pe
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee
if vou want this processed through vour account 0
check here
DATE ~~:$""- c::> er
OWNER
CONTRACTOR
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o Commercial
OIndustrial
CHECK Ii:! ALL APPLICABLE
USE CATEGORY
BSingle Family ODuplex
OMulti-Family
SERVICE DNew
Bchange
DTemporary
DNot Applicable
TYPE OOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NU
Switches #
Circuits #
d)..
Volts
Phase
Amps
lac I a "1'0
-S-~~E
/__ ~A1/1.
Receptacles #
Fixtures #
CHECK Ii:! ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage D sposal
DAlC
~Other
DDryer DWater Heater
DElectric Sign
<! A--1\!!t:",.....". $
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and aU materials including light fixtu es) $
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MASTER ELECTRICIAN
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