HomeMy WebLinkAbout0125684-Electric
G
OSHKOSH
ON THE WATER
Job Address 359 KNAPP ST
. CITY OF OSHKOSH
No
125684
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
o New
o Change 0 Temp
Owner TAMMY L WAGNER Create Date 07/09/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 6 Luminaires 20
Switches 20 Receptacles 35
Contractor OMNI ELECTRIC LLC
Volts
Amps
Appliances
Use/Nature of SFR\ Craft room, bedroom, bathroom, rec. room.
Work
Fees: Valuation
41~
$3,200.00
Plan Approval
$0.00
Permit Fee Paid
$111.00
Issued By:
Date 07/09/2007
o Permit Voided I
Parcelld # 0608701700
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
392 E 10TH ST
FOND DU LAC WI 54935 - 0
Telephone Number 920-979-6596
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
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 permit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
['vou are a contractor particiDatin1! in the Permit Fee Account System and have adeauate funds. check here
i'vou want this DTocessed throu1!h your account D. .
DATE
~-S9-o7
JOB ADDRESS 3 S'1 'K o'\~ f )( J
OWNER . 0 a v;' J L I 0 r 1)0 :;r
CONTRACTOR D vY\ (l i E l-ec f1',c L I L, L
CHECK E3 ALL APPLICABLE
.~ CATEGORY .
>\i:>ingle Family . DDuplex OMulti-Family
SERVICE.~ew DTemporary
DChange DNot Applicable
DRental
OCommercial DIndustrial
TYPE OOverhead
..QJpnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts 1 12.0 I '-YO
:rhase S i .1\1 ~
~mps WO
Receptacles # 'S.>
Switches # 20
Circuits #
to.
20
FixtUres #
CHECK ~ ALL APPLICABLE
ORange .
~an OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC .
DOther
DDryer OWater Heater
DElectric Sign .
DESCRIPTION OF ALL WORK BEING DONE
fc....{..J- f2-eJ cJ M <-cI /I)()
Ie. .-
o CJ ,;Y\
. . VALUE (Including labor and all materials including light flxtures) $ ~ 2 {!)CJ ,(JtJ
MASTER ELECTRICIAN -# ~ 'A 1 YL\ 7 .
. CeM f Ivy ~ :r dePl ,'t> {4 f ,.'0/1 d=
z. () "" 3 2_22- L}"5 t.f
3/02