HomeMy WebLinkAbout0125792-Electric
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OSHKOSH
ON THE WATER
Job Address 2415 HICKORY LN
CITY OF OSHKOSH
No
125792
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DANIEL M COTTER
Create Date OS/22/2007
Contractor
BOWMAN ELECTRIC LLC
Category 611 - Residential-New Single Family Wirin Plan
Service
Ie New
o Change 0 Temp
ON/A ~
Type 0 Overhead
. Underground
Volts 120/240
Circuits
Luminaires
Amps 200
Switches
Receptacles
Appliances
I
~
Use/Nature of NSFR / NEW HOME WIRING
Work
~l
Fees: Valuation $6,000.00
Issued By: ()yoS-
Plan Approval
$0.00
Permit Fee Paid
$145.00
Date 07/13/2007
D Permit Voided I
Parcelld # 1518678000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
914 W 12TH AVE
OSHKOSH
WI 54902 - 6320
Telephone Number 231-3106
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Osllkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce$sed.
. 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 particilJatin!! in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this lJrocessed throu!!h vour account D' ,
713~/
(
DATE
JOB ADDRESS ~I ,;( '-115 fl/<:..-kcJF j LI"-
OWNER ' ~(,.'^- L-o * r
'CO~CTOR bowol\^-c.-.--- Ele>c'.j, 1'<--
CHECK Iii ALL APPUCABLE
USE~CATEGORY
~lngle Family
'SERVICE ~w
OChange
DDuplex
OMulti-Family
DRental
o Commercial
o Industrial
OTemporary
ONot Applicable
TYPE DOverhead
~nderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts
:phase
AmPs
/20 I 2 '-40
/
2. c:>O
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK Ii!J ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONC
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE t1 cw
~~
\ \
AYiVOI)
, ' VALUE (Including labor and all materials including light iIXtures) $ G'6~
MASTER ELECTRICIAN
~~~
3/02