HomeMy WebLinkAbout0126231-Electric (upgrade)
G
OSHKOSH
ON THE WATER
Job Address 1039 ALGOMA BLVD
CITY OF OSHKOSH
No
126231
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
GRADY D/KIMBERL Y BULLINGTON
Create Date 08/13/2007
Contractor
GROVER ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
o Change 0 Temp
. NIA
Type 0 Overhead
o Underground
Service
10 New
120/240
Circuits
Luminaires
Volts
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR 1 Remove and replace knob-n-tube wiring.
Work
Issued By:
$750.00
fhwo
Plan Approval
$0.00
Permit Fee Paid
$46.00
Fees: Valuation
Date 08/13/2007
o Permit Voided I
Parcelld # 0507020000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh h@~. no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in t' ermit applicatio within an easement, the City strongly urges the permit applicant to contact the easement
re any necess fore starting such activity.
Signature
Date
~-J?-O)
Address
1650 S OAKWOOD RD
OSHKOSH
WI 54904 - 8347
Telephone Number (920) 379-7259
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, VVI54903-1130
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 you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account D
JOB ADDRESS ! 0 s'0 If I [j 0 "-I ~
OWNER C-vCr t{ ~J (3 VI. / /"V\j ruM.
/'/ , .
CONTRACTOR v---r-u t/ -{ V .~ I -f'c.. +- v-/ '(
DATE (- /_7-0 '7
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE ONew
o Change
DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
o Temporary
{;dNot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /20 I)-'-t ()
Phase ~.' ~J l..f
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
OAlC
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE A -<- Y"'-{) v-c -+
. I L ' I
r ~o ~ .-L IV\. v-f L/-/ I V'f'V)
/J.-e,f{er c.-e
u
7 ~() cz:=--
VALUE (Including labor aU~c1nA light fixtu...) $ /~" ~
MASTER ELECTRICIAN ~ ~ t _
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