HomeMy WebLinkAbout0125940-Electric (garage)
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.4 OSHKOSH
ON THE WATER
Job Address 253 W 9TH AVE
CITY OF OSHKOSH
No
125940
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner DANIEL H GEFFERS Create Date 07/24/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 4 Luminaires 2
Switches 2 Receptacles 2
Contractor DENNIS P BRENNAN
Service
KJ New
120/240
Volts
Amps
30
Appliances
Use/Nature of DUP\ Wire detached garage
Work
,
Fees: Valuation
Issued By: ~
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 07/24/2007
D Permit Voided I
Parcelld # 0900630000
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 necessa approvals before starting such activity.
Signature ~ ~ t ~ Date
AgenUOwner
Address
1423 RAINBOW DR
OSHKOSH
WI 54902 - 2648
Telephone Number (920) 232-7237
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.
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"i
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ON THF WATFR
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 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 particioating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account D
DATE
7 /?- Y it,)
. I
JOB ADDRESS
OWNER D !'tv
CONTRACTOR
L SJ
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9: TH
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o l!,...;..r-;] 0 {(Ie fv~
CHECK It! ALL APPLICABLE
USE CATEGORY
DSingle Family ITIDuplex
DMulti-Family
DRental
D Commercial
DIndustrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
t '20 I '1 \tf
1
'JO
Receptacles #
'"7-
Circuits #
Lf
Switches #
"'L
Fixtures #
'7-
CHECK It! ALL APPLICABLE
ORange
DFan OR Blower
DMotors
ODishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE W \ it I,...'''
'1
II.. \L...... (,I'h
G i"nt k6 ~
.~ 00
VALUE (Including labor and all materials including light fixtures) $ .} 0 a .' ~
MASTER ELECTRICIAN li;: ....:;;- f)----
3/02