HomeMy WebLinkAbout0125956-Electric
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OSHKOSH
ON THE WATER
Job Address 1519 N MAIN ST
Contractor PACKERLAND ELECTRIC LLC
CITY OF OSHKOSH
No
125956
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner DARLENE S/JEAN L NELSON Create Date 07/11/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 30 Luminaires 15
Switches 25 Receptacles 50
Service
o New
Volts 120/240
Amps 200
Appliances Range, dishwasher, garbage disposal, dryer, water heater, fan, furnace
Use/Nature of ~FR/ Interior remodeling* to repair fire damage including gutting the 1 st floor new cabinets and countertops. No structural work will need
Work 0 be done.
$2,500.00 Plan Approval
~
$0.00
Permit Fee Paid
$94.00
Fees: Valuation
Issued By:
Date 07/25/2007
D Permit Voided I
Parcelld # 1501350000
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
3684 PACKERLAND DR
DE PERE
WI 54115 - 6854
Telephone Number (920) 336-8600
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.
l
City of Oshkosh
Division OfIl1~pectiOT\ Services
1'.0. Box 1130
Oshkosh,VVI54903-l130
Phone (920) 236-5050
Fax (920) 236.5084
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Q6QlB
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
l.ncomplete applications will not be processed,
. Applicarloo(s) and fee(s) can be b>"ought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
. Oshkosh Wl 54903-112~. Commencing work without pcnnit(s) "';11 result in feos being doubled or $100.00 pIns th'
normal permit fee, which ever is greater.
OR .
~f ;'<< ar a'. ""aCI,r arllei a' in in ,h. pum;, F.' A cco<<nl S "em and ha" ade <<al'
I nu want IhlS Drocessed lhrouflh your account 0 .
DATE-=D~'b')~
JOB^DDRESS~\gN~ ~
OWNER ~U~. . .'
CONTllAcrOR~Y . ~~l., \...\.L.
CHECK 0 ALL APPLlCABl..E
~CATEGORY
roingle Family ODuplex DMulti-Fam ily
SERVICE ONew OTemporary
o Cl1ange ~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
DRentaJ
DCommercia\
Olndustria\
TYPE DOverhead ~ot Applicable
OUnderground .
Volts \"0-0 10.40
Pha5e-~~\~ .
Amps . -=
Receptacle!; # 'St)
Switcbes # :zc;
Circuits # ~
Fixtures # \~
CHECK 0 ALL APPLICABLE
DESC~~l\O~ ~L WORK BEING DONE tt~ h..6'V\ Q.llL..\tl
=- \ v ,~--' WMog .
~ishwasher
~t1rnace
OGas Pumps
~arbage Disposal
DAle
DOther
';faDryer l)kWater Heater
OEle9tricSign
~ange
l;ifan OR Blower
DMotors
VALUE (Including labor and all materials including light fixtures) 2) d~
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MASTER ELECTRICTAN
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