HomeMy WebLinkAbout0125403-Electric
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OSHKOSH
ON THE WATER
Job Address 1243 MERRITT AVE
CITY OF OSHKOSH
No
125403
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LAWRENCE J PASQUINI Create Date 06/18/2007
Contractor DILLMAN ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
. N/A
Type Q Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances Range, dishwasher, fan, garbage disposer.
Use/Nature of SFR/ Kitchen Remodel* to include gutting walls and replacing cabinets and countertops.
Work
$1,200.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
~1r
Date 06/19/2007
o Permit Voided I
Parcel Id # 1100920000
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 . ermit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) ure any nee apprQval before starting such activity.
Signature
Date
Io/'tq /67
I I
Address
PO BOX 0273
Agent/Owner
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 (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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbone'(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
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 being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor Darticipatin!! in the Permit Fee Account Svstem and have adeouate funds, check here
ifvou want this DTocessed throu!!h vour account D' .
DATE 10/11/07
I It
JOB ADDRESSJ Q. tt'3 fj ~YV'~~
OWNER . L.'H.- )-#J// ./ (l.,.,n'l/' :
CONTRACTOR 1l1''l1 ~ ~ V\~. t/~-r-y !~
CHECK S ALL APPLICABLE
~~ CATEGORY
.?ingle Family . DDuplex OMulti-Family
SERVICE. ONew DTemporary
DChange DNot Applicable
ORental
DCommercial
OIndustrial
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
::phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ItJ ALL APPUCABLE
BJRange 1tJDishwasher ~Garbage Disposal
li(JFan OR Blower OFurnace DNC
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE_R-~~te \
DDryer OWater Heater
DElectric Sign
K ~ +ch ~V\.
. ...
. . VALUE (Including labor and all materials including light f'lxtures) $ l):J 00 \ 00
MASTERELECTRICIAN 13\'LX t ~\)~\\ v'v\~,,^-
3/02