HomeMy WebLinkAbout0125656-Electric
G
OSHKOSH
ON THE WATER
Job Address 724 VINE AVE
CITY OF OSHKOSH
No
125656
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner MR/MRS PATRICK J HELBLING Create Date 07/03/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 6 Luminaires 2
---
Switches 4 Receptacles 10
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Contractor DILLMAN ELECTRIC
Volts
Amps
Appliances Range, Dishwasher, Garbage Disposal
Use/Nature of jFR I WIRE KITCHEN REMODEL
Work
I
$950.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$60.00
Issued By:
~
Date 07/06/2007
D Permit Voided I
Parcelld # 0502940000
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
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 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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor participatinf{ in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this Drocessed throuflh vour account D. .
DATE "7 t5'( 07
JOB ADDRESS "l~ 4 ~ ;\^ ~
. OWNER. \),,*- i\d\Jt: nj
. CONTRACTOR D~\ \V\AC\ V\
/2( ~~~
CHECK S ALL APPUCABLE
USE CATEGORY
aSingle Family DDuplex
OMulti-Family
DRental
o Commercial
DIndustrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
10
t-J
Circuits #
~.
/)
. Volts
:phase
Amps
Switches #
FIXtttres #
CHECK S ALL APPLICABLE
JDRange
OFan OR Blower
OMotors
tlDishwasher
OFumace
OGas Pumps
fllGarbage Disposal
DAlC
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE.:.J h+R\ ~ ~ '"dr, ~V\
le.~~,,~
.' VALUE (Including labor and all materials including light ilXtures) $ CfSD .60 .
MASTER ELECTRICIAN 13 h ~~ ~ 1) ~ t t (N\~ II\.
3/02