HomeMy WebLinkAbout0125393-Electric (repair)
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OSHKOSH
ON THE WATER
Job Address 1015 W 10TH AVE
Contractor VAN ERT ELECTRIC CO INC
CITY OF OSHKOSH
No
125393
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner JENNIFER BARBIAN
Create Date 06/19/2007
Volts
Circuits
Type 0 Overhead
2
Plan
o Underground'
Category 643 - Commercial-Addition/Remodels
o Change 0 Temp
. N/A
Service
o New
120/240
Luminaires
100
Switches
Receptacles
2
3
Amps
Appliances
Use/Nature of ~OMM (Bartelt Photography) / Repair smoke damage in back room. VE Job #F2037-AA. "DEBIT ACCT".
Work
Issued By:
$900.00
O~
Plan Approval
$0.00
Permit Fee Paid
$53.00
Fees: Valuation
Date 06/19/2007
o Permit Voided I
Parcel Id # 1305320000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888
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.
~?6/19/07 08:52 FAX 920 766 0883
::: City orOohb>oh
::: Division oflnspection SetVices
P.O..Box 1130
OshkQsh. WI 54903.1130
phone (920) 236~SOSO
Fax (920) 236<<5084
,.vAN ERT 'ELECTRIC
f4I 0 01
~
~Q(R,
EL.ECTRICAL PERMIT APPL.ICATION
, ' All infOm:18 tiou 'after bold eat:gQriesmusfbcptOVided. ~
Incomplete a.ppl.k.a.tions willllot be processed. l\k\\\
, " . ~
. Apptication(s) and fee(s) can be brought to City Hall, RoOm 205 or mailed to rn~otion Services, L 128,
Oshkosh WI. 54903-ll~g. GOmn'lencing work without permit(s) will TCsult in fees being doubled or $1'00.09 plus '
-nonnal permit fee, which ever is greater, .
OR "
ft;:~ :6 : ~~:r;;:~()r i.atl{ctQ~n:, in tt,e ~~t~i.f.{ee A.ccount' Sv.8tem an<l have. adeQJtiIle ru.1tds~c"eck h.
iL1~H ~nuhtL!W2~eS~ed rhroug-h YOUr !!.cc!!E.n.t 'f( ,
. DATE tt/lB/b1
JoB ADDRESS IDft] {JJAf. ID'-h S/r.a1 '
OwNEll. ~-f. PNhB/7J1lY .
co~crOR ~(Lv.. &A . . .
CHECK iii' ALL APPUCA.BJ..Jt
USE CATEGORY ,
DSingle Fan:rl1y c;tDuplex _ qMulti-Family'
SERVICE' CNew DTcxnpomry',
, lJ~e. ,~otAPpli~b1e, . .
CJRefital ~omm.ercial OInduitrla.l
TYPE DOver-head ' ~ot APplicable
OUnaerground .
, .
F[LL IN11iE APPROPlUATE~ WITHTBE ~~
Swltcl1es # ~
_,'S
a
Circuits #
d
~
Volts ~ I /-W
Phase nh I
Am.ps ICJtJ
Receptacle.!! #
~e9#
CHECK Eif ALL APPLICABLE
ORange
D.Pan OR. Blower
D,Motors
CJ.Pisbwash=r
OFumace
DGas Pumps
DGarbagc Disposal
DAle
DOllier
D~ ClWater neater
OBlectric ~ign
DESCRlPl'ION OF ALL WORK BEING DONE
- .
~r 5fr/o/u D,M,~ ~ ~~
-
---..
VALUE (lnr:lucUng labor-and aU ll1aterlaIs tlJeludln~ llgl1t fixtures) 5; 't ~ , ",,-
~.S~~~..
.\2tr.-n'J ~Jj' $ 53~~O
. O/~.
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'MASTER ELECTRICIAN
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