HomeMy WebLinkAbout0126107-Electric (citation corrections)
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OSHKOSH
ON THE WATER
Job Address 629 W 17TH AVE
CITY OF OSHKOSH
No
126107
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARILYN D MORRISON
Create Date 08/06/2007
Contractor
VALUE ELECTRIC
Category 623 - Residential-Duplex Addition/Remode Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
"
Use/Nature of SFR / Correct electrical problems outlined in inspection citation.
Work
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Issued By:
Date 08/06/2007
D Permit Voided I
Parcelld # 1406100000
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
1220 GREENFIELD TRL
OSHKOSH
WI 54904 - 8036
Telephone Number (920) 233-4533
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, VVI54903-1130
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 participating in the Perm it Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account D
DATE ~ r fo~{)"7
JOB ADDRESS (v 2 q W ( l1 T It
OWNER (\1\ AJC.lll( N fV\ 0 (l (( I 'S ON
CONTRACTOR \) A L \) e e LEe.- T f< t V
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family
SERVICE DNew
DChange
DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORKBEINGDONECO(C,(lEC r f:::-L~CTt?[CA ~ prW6Lt.N~5
() ()T LIMEn I AJ l AJ SPE C T {oAI C Ii /ti10 Ai
VALUE (Including labor and all materials including light fixtures) $ ,5 CJ(?J . 0 C)
MASTER ELECTRICIAN b LIV tV ['5 m~ H U& H
3/02