HomeMy WebLinkAbout0125610-Electric (2nd floor remodel)
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OSHKOSH
ON THE WATER
Job Address 750 BISMARCK AVE
CITY OF OSHKOSH
No
125610
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JERAMIAH M/RHONDA F HOUSWORTH Create Date 07/02/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b.New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Water hater
Use/Nature of SFR\ Rewire 2nd floor according to current code.
Work
Fees: Valuation.
~
Issued By: t:j?
$60.00
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
Date 7/212007
o Permit Voided I
Parcel Id # 0602730000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
7--2-v?
Date .
OSHKOSH
WI 5490 - 5810 Telephone Number
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 pO
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,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor "artici"atinf! in the Permit Fee Account Svstem and have adequate funds. check here
;fvou want this processed throuf!h vour account D. -
DATE r ~ e.1!)1
oJOBADDRESS 750 3/SMAIf.c-K k
OWNER - .::]G-R A--m /A H flow w p ~J}/
CO~CTOR O\r-~4-(
CHECK iii ALL APPUCABLE
~_CATEGORY
~gle Family . DDuplex DMulti-Family
.. SERVICE_ ONew OTemporary
OChange DNot Applicable
DRental
DCommerciaI
DIndustrial
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
- Volts
:rhase
:Amps
Switches #
FixtUres #
CHECK iii ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower OFurnace ONC
OMotors DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE fl..e li'-" { rf 1 ~
{'; kL--J-.- ~ .r-.. a J (l
ODryer ;kJWater Heater
DElectric Sign -
f!o~ r" (j~l.Or-rh~7 10
o
. /1 /1 0")
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3/02