HomeMy WebLinkAbout0126233-Electric
e
OSHKOSH
ON THE WATER
Job Address 40 E WAUKAU AVE
CITY OF OSHKOSH
No
126233
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARC H OL TRA
Create Date 08/09/2007
Contractor
ACTION ELECTRIC, ELECTRICAL CONT
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / Sunroom addition.
Work
Issued By:
$1,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Date 08/13/2007
D Permit Voided I
Parcelld # 1417140000
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.
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 participatimz in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throu~h vour account D
JOB ADDRESS~ 0 l)Jn\. )k. Q. \.A. ~\ 1.Q.
OWNER ~"~ 0 :;~~
CONTRACTOR . (' 'e V"'\. . '-'- . r \'~
DATE 8 - fD -07
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE DNew
o Change
DTemporary
DNot Applicable
TYPE DOverhead
o Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAlC
DMotors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE_f\ ~ ~ : \\ ~ f"
o Dryer DWater Heater
DElectric Sign
~~ "I'OC1 fY\
VALUE (Including labor and all materials including light fixtures) $.,31 '5 (\ c .........RE eEl V ED
MAS'IER ELECTRICIAN A~ l J Ih-. f1.1'Y' ~ _ AUG 0 9 Z007
DEPARTMENT OF
COMMUNITY DEVELOPMENl"2
INSPECTION SERVICES DIVISION
~
! '77.cJ()
d--1J?J
, ;).. tt
I