HomeMy WebLinkAbout0125720-Electric (porch)
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OSHKOSH
ON THE WATER
Job Address 1628 MICHIGAN ST
Contractor VAN ERT ELECTRIC CO INC
CITY OF OSHKOSH
No
125720
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL RILORI A HENDERSON
Create Date 07/10/2007
Category 634 - Residential-Service Change
o Change 0 Temp
. NIA
Type 0 Overhead
Plan
o Underground
Service
([New
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR 1 REWIRE BACK PORCH (VE job # F2034-AI) **debt acct
Work
I
j
Fees: Valuation $800.00
Issued By: ~,&
Plan Approval
$0.00
Permit Fee Paid
$46.00
Date 07/10/2007
o Permit Voided I
Parcel Id # 0908440000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888
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.
1,07/10/07. ,.09: 31 FAX 920 7~?883 ,_ _ :VAN ~RT ELECTRIC
City of Oshkosh " ,
Division of'Inspection Services
P.O. Box. 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
14l 001
~
OfHKOfH
ON T~f 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 54903-11~8, Commencing work without permit(s) will result in fees being doubled or $1'00,09 plus '
.normal permit fee, which ever is greater,
OR
o are t1 CD/1.trac r a lid a in in ,he P rm 'f Pee Ace
trvqu wanr this r;roc.essed throllf!'h VDur accoun'(
DATE
rJ //0/0'1
:=:RESS 1;:8 Ji:::~ ~ .
Vo-v-,fir1- ~/<:.~'L-,
CONI)MCTOR
CBECl<. a ALL APPLICABLE
~ CATEGORY ,
!RSing1e FWJ?ily o Dllplex
, .
SERVI~ DNew DTetnporary
o Ghange, UNot Applicable,
o.Multi-Family'
ORental
DCommercial o Industrial
TYPE DOverhead DNot Applicable
DUnde:rground .
Fn.L IN THE APPROPRIATE BL~ WITH THE NUM.BER
Volts '.
Pbase
Amps
(
Receptacles #
Circuits #
, SWitcl1es #
Fixtures #
CHECK IiI ALL APPLICABLE
ORange
OFan OR Blower
o Motors
ODishwasher '
DFumace
DGas Pumps
o Garbage Disposal
ONe
o Other
DQrye1' OWater Heater
DElectric ~ign
DESCRIPTION OF AIL WORK BEING DONE /2e/JJ i"rJ t 6u.t. ~
MASTER ELECTRICIAN
Yf, [,1 '
-...JU(..)~ F~ oM- &
VALUE (Including labor and all materials including light fixtures) $ X dV~OO
c S~,~~.
~mlJ f.u $ 4{O.OO
J/