HomeMy WebLinkAbout0126023-Electric
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OSHKOSH
ON THE WATER
Job Address 902 EASTMAN ST
Contractor ACTION ELECTRIC, ELECTRICAL CONl
CITY OF OSHKOSH
No
126023
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HV PROPERTIES LLC Create Date 07/18/2007
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
eN/AI
Type ~ Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances 'Exhaust Fan
Use/Nature of SFR/ LATE PERMIT/ Gutting the bathroom and installing new drywall, cabinets, exhaust fan. The kitchen cabinets are also being
Work replaced (same layout, no walls opened). CHECK # 29620 Mailed 7-27
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Fees: Valuation
Issued By: ~
$300.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 07/31/2007
o Permit Voided 1
Parcelld # 1002850100
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
W1906 COUNTY ROAD JJ
KAUKAUNA WI 54130 - 9417
Telephone Number (920) 788-4020
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 of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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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
]fvou are a contractor varticivating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed throuz:hvour account D
JOB ADDRESS q <' d R ~ \ ffio.. ~
OWNER .~~ ~~~~
CONTRACTOR 0 . \ k (' \ t
DATE {- ;)5-0]
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
DRental
o Commercial
Dlndustrial
SERVICE DNew
o Change
o Temporary
DNot Applicable
TYPE DOverhead
o Underground
DNot Applicable
.FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange o Dishwasher DGarbage Disposal DDryer o Water Heater
DFan OR Blower o Fumace DAIC \ DElectric Sign
o Motors DGasPumps o Other gx~\.;,.,,\. ~y....,.
DESCRIPTION OF ALL WORK BEING DONE :rY'~ ~ ~ N~ \. l , ~ ~O: ll1:\-+ 1. Q h
~
V ALOE (Inclnding Jaho, and aD mat..lal, In'l:'IT fixtn,,,) $ :;joe<-
MASTER ELECTRICIAN .~ \ \-" \\aU j _ _
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3/02