HomeMy WebLinkAbout0125503-Electric (circuit breaker)
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OSHKOSH
ON THE WATER
Job Address 1221 W BENT AVE
CITY OF OSHKOSH
No
125503
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
FREDRICK M/LORI A MULLER
Create Date 06/25/2007
Contractor
T RUCK ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
[> New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR /lnstall1 00 amp main circuit breaker and 2 ground rods.
Work
Fees: Valuation $400.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 06/25/2007
o PermitVoided I
Parcel Id # 1205330000
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
690 W 3RD AVE
OSHKOSH
WI 54902 - 5880
Telephone Number (920) 233-7191
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.
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City of OsMcosh
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 APPILICATION
AU information after bold categories must be provided.
Incomplete applications will not be processed.
· AppI1cation(~~ and fee(s) can be brought to City Hall. Room 205 or mailed to In.i;pection Services. PO Box 1128,
Oshkosh WI 549.J3-1128. Commencing work without pennit(s) vvill result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OIR.
ILJi.J2.l!....flLe a contractorJliJJ.'Ucipat.infj! in the Permit Fee Account Svstem and have adeQuate funds, check here
tf.. you want this...J2LPcessed through your account 0 .
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JOB ADDRESS_~2<21 vJ. f{]I;-Arb
OWNER q;-~6[> tlJu/f.g.r(
CONTRACTOR_~a0(L. ~(3( P-nc c..
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CHECK Ii1 ALL APPLICABLE
. US.~ ATEGORY
~n~l~ Family DDuplex
o Multi-Family
o Rental
DCommerciaI
o Industrial
SERVICE ONew
OChange
~,
o T jtt'i1porary
~-ot .l\.pplicable
TYPE []Overhead
DUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBE~
v oIts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK I?I ALL APPLICABJLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower DFumace DAle
DMotors [JGas Pumps DOther _
DESCRlPTlONOFALJLWORKBEINGD~/I"_~~ -100 ~D ; m..iJ
- ~ _U7l'_IJ+J'O Cc~C2Q
o Dryer DWater Heater
DElec'trie Sign
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MASTER ELECTRICIAN