HomeMy WebLinkAbout0126105-Electric
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OSHKOSH
ON THE WATER
Job Address 1965 CLlFFVIEW CT
CITY OF OSHKOSH
No
126105
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner
CHARLES/KATHLEE S NIGL
Create Date 08/06/2007
Contractor
JK ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
KJ New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / Wire addition.
Work
Fees: Valuation
$1,500.00
~~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 08/06/2007
D Permit Voided I
Parcel Id # 1525910000
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 perm' application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secu any eces ry pprovals before starting such activity.
Signature ' tJ.' Date
Agent/Owner
Address
E9102 MANSKE RD
NEW LONDON WI 54961 - 8938
Telephone Number (920) 982-7848
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-ll30
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 YOU are a contractor varticivating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed throuf!h your account 0
JOB ADDRESS J9~s..-r
OWNER tVlJ) f..
CONTRACTOR ~:r;'dJ f7
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE DNew
DChange
C I, J!-Pv i e IV C ,\--
DATE ~--rj " C) 7
f~ , ~ k EI~CL-f ~,
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
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
o Furnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
Lv \rf (]ij). fi> v---...
MASTER ELECTRICIAN
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VALUE (Including labor and all materials including light fixtures) $
3/02