HomeMy WebLinkAbout0125404-Electric (wire porch)
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OSHKOSH
ON THE WATER
Job Address 1622 BOWEN ST
CITY OF OSHKOSH
No
125404
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MRlMRS CLAYTON D HILAND
Create Date 06/19/2007
Contractor
DILLMAN ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR\ Wire porch.
Work
Fees: Valuation
$300.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~I <-;,
Date 06/19/2007
o Permit Voided I
Parcelld # 1510990000
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 'thin an easement, the City strongly urges the permit applicant to contact the easement
holder(s) a d to s cure any necess ry a rovals fore starting such activity.
Signature Date
Agent/Owner
loft q 1~7
Address
PO BOX 0273
OSHKOSH
WI 54903 - 273
Telephone Number 920-212-0756
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 inforrilation 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 being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade .uate unds check here
ifvou want this TJrocessed throuf!h vour account 0
DATE
6"17-.01
.rOB ADDRESS~ L,d.d.- ~DU)~.JI\..
OWNER'
~
o it / rv,~ (J-f?I('~
CONTRACTOR
CHECK Ea ALL APPUCABLE
ysE CATEGORY
><QSingle Family DDuplex DMulti-Family
.' SERVICE DNew DTemporary
DChange '~ot Applicable
ORental o Commercial OIndustrial
TYPE DOverhead ~Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
, Volts
:phase
~mps
Switches #
FixtUres #
CHECK m ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAlC
DOther
ODryer bWater Heater
OElectric Sign
,
L.- J Y' Pj
DESCRIPTION OF ALL WORK BEING DONE
~'~fL
.
..VALUE(IndUdlnglahOr.DdaU~g~~")$ 53bO.M.
MASTERELECTRICIAN ~---~=
3/02