HomeMy WebLinkAbout0125707-Electric
G
OSHKOSH
ON THE WATER
Job Address 223 MERRITT AVE
CITY OF OSHKOSH
No
125707
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH REDEVELOPMENT AL Create Date 06/28/2007
Category 611 - Residential-New Single Family Wirin Plan
o NIA Type o Overhead . Underground ~
Circuits 24 Luminaires 16
Switches 24 Receptacles 36
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Contractor BULLSEYE ELECTRIC INC
Service
Ie New 0 Change 0 Temp
120/240
Volts
Am ps 200
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
UselNature of INSFR 1 WIRE FOR NEW.. HOUSE
Wo~ . ...... ... .
L
Fees: valua~' Q $4,700.00
Issued By: ~
.. '-..)'
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 07/10/2007
o Permit Voided I
Parcel Id # 0400320000
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 se~;;any necessary rovals before starting such activity.
Signature ~~, .'?<el Date
Agent/Owner
'7. /0.0'1
Address
2547 NEKIMI AVE
OSHKOSH
WI 54902 - 8855
Telephone Number (920) 420-2400
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 (92()) 236-5()5()
Fax (920) 236-50S4
(t)
OfHKOfH
ON THE WATER
ELECTRICAL PERMIT APPUCA TION
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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor varticipating in the Permit Fee Account Svstem and have adequate funds. check nere
if vou want this processed through vour account 0
DATE
'7-/<:J- 07,
JOBADDRESS ~.:3 ~;ez7T /l~.
OWNER 1'2..:& - :57~ ~.z; ~.:c Nc:q.
CONTRACTOR ~~.tt.:S~~ ~c!F~Az<:!.. .2Zc..
CHECK ~ ALL APPLICABLE
USE CATEGORY
ijjISingle Family o Duplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE tBNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
IRUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ~ I ,,;)~t::J
Phase ~..ucIIi<~
Amps ~
Receptacles # , c::.
Switches # ~ .y
Circuits # ;~
Fixtures # I ~
CHECK ~ ALL APPLICABLE
lYRange
Dlfan OR Blower
DMotors
lkH>ishwasher
lPFurnace
DGas Pumps
l8Garbage Disposal
~A/C
DOther
,RJDryer DWater Heater
DElectric Sign
DESC:RIPTION OF ALL WORK BEING DONE ~ ~~E'
. "'- .0
VALUE (Including labor and all materials including light fIXtures) $ q ~. -
MASTER ELECTRICIAN d ~4!{
C'- /t;;.e.-)
3/02