HomeMy WebLinkAbout0126351-Electric
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OSHKOSH
ON THE WATER
Job Address 3190 OLD ORCHARD LN
CITY OF OSHKOSH
No
126351
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARK H/KRISTEN J LASKY
Create Date 08/20/2007
Contractor
SECKAR ELECTRIC CO INC
Category 612.:Besidential~Single Family Addition/R Plan
Service
b New
o Change 0 Temp
.N/~
Type 0 Overhead
o Underground
Volts
Circuits
luminaires
Amps
Switches
Receptacles
Appliances ~.
I
Use/Nature of ISFR / REMODEL MASTER BATHROOM **debt acct
Work
I
------, --------_!
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Fees: Valuation _~2-,-000.OO
Issued By: ~2r
Plan Approval ___~_Q:Q.Q
Permit Fee Paid ~E.?.OO
Date 08/20/2007
D_~ermit Voided!
Parcelld # 1417480000
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
5920 COURTNEY PLUMMER RD
WINNECONNE WI 54986 - 9728
Telephone Number (920) 582-4909
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, WI 54903-1130
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
1 ou are a contractor artici atin in the Perm' Fe Account S stem and have ade uate unds check here
if you want this processed through your account
DA TEil:v6 uS r ~O- z-OO 'J
JOB ADDRESS 31~o Ot.-\:) OR.cH,A,e..J)
OWNER fhf\i2.lc. L-A-s~ If
CONTRACTOR Se-(.}..CA:e ez..-ee-p:::cc co. / AJ(,-
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ngle Family
DDuplex
o Multi-Family
o Rental o Commercial o Industrial
TYPE DOverhead ~ot Applicable
DUnderground
SERVICE DNew
DChange
DJemporary
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
DRange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE~~ j'\t\OD u...
/vt/f-$ Rle /?,A'p,-/ f:.OOft-1
,
VALUE (Including labor and all mat rials including light fixtures) $ 200 a. 0 0
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MASTER ELECTRICIAN
3/02