HomeMy WebLinkAbout0126418-Electric (dishwasher)
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OSHKOSH
ON THE WATER
Job Address 325 SEAGLE ST
CITY OF OSHKOSH
No
126418
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST TIPLER JR HIGH Create Date 08/22/2007
Contractor HOEHNE ELECTRIC
Category 643 - Commercial-Addition/Remodels 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 COMM / Wire dishwasher, ""DEBIT ACCT"",
Work
Fees: Valuation
$500.00
(J/J?L.<:7
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/22/2007
o Permit Voided I
Parcelld # 0611640100
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
AgenUOwner
Address
N1798 JUNCTION LN
BERLIN
WI 54923 - 8923
Telephone Number (920) 379-8200
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
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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
check here
DATE
/ ~OAJ 7
OWNER
CONTRACTOR
CHECK Ii:1 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE OOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK Ii:1 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
OFan OR Blower DFurnace DAIC
DMotors DGas Pumps DOther
,
DESCRIPTION OF ALL WORK BEING DONE j){~ ~
ODryer OWater Heater
DElectric Sign
VALUE (Including labor and all materials including light fixtures) $
5S7J
MASTER ELECTRICIAN
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