HomeMy WebLinkAbout0125254-Electric (fireplace)
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OSHKOSH
ON THE WATER
Job Address 3179 HAYWARD AVE
CITY OF OSHKOSH
No
125254
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL J BRECHLlN/L1SA A PEPPLER Create Date 06/11/2007
Contractor HULLAR ELECTRIC LLC
Category 612 - Residential-Single Family Addition/R Plan
Service
10 New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / Add garage receptacle for fireplace in basement.
Work
Fees: Valuation
$25.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 06/11/2007
o Permit Voided I
Parcel Id # 1342930000
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 se c sa vals before starting such activity.
Signature Date
AgenUOwner
b /1 J / D?
/ ' I
Address
4932 W 9TH AVE
OSHKOSH
WI 54904 - 0
Telephone Number 920-233-3667
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 infonnation 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,
Oslikosh WI 54903-1128. Commencing work without pennit{s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
[fvou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed throuf!h vour account D' .
DATE ',/ II//)'
JOB ADDRESS
OWNER,
CONTRACTOR
..II 71 . f/,.( _~
/I.. / I...
E /"~I (~ (
CHECK ltJ. ALL APPLICABLE
USE CATEGORY
~gle Family DDuplex
OMuIti-Family
ORentaI
o Commercial
OIndustrial
. SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE OOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts
:phase
Amps
I
Receptacles #
Circuits #
Switches #
Fi.xt1ires #
CHECK ltJ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DNC
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
Ft."... r~" ,'/") b4-'~,..n4-
4~J
rv~
9 AI"... ~ It I"" ~ c..
fl.
..
.. VALUE (Induding labor aud aD ~;$
MASTER ELECTRICIAN
,
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