HomeMy WebLinkAbout0126419-Electric (dishwasher/disposal)
G
OSHKOSH
ON THE WATER
Job Address 915 HAZEL ST
CITY OF OSHKOSH
No
126419
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
OSH AREA SCHL DIST WEBSTER STANLE Create Date 08/22/2007
Contractor
HOEHNE ELECTRIC
Category 643 - Commercial-Addition/Remodels
Service
[> New
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of COMM / Wire dishwasher and disposal. Change interior panel. '"DEBIT ACCT"".
Work
Fees: Valuation
$1,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 08/22/2007
o Permit Voided I
Parcelld # 1110240000
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
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 ou are a contractor artici atin in the Perm 't Fee Account S stem and have ade
ifvou want this processed throuflh vour account
DATE
cY I c5<-&/ CJ 7
OWNER
CONTRACTOR
CHECK 0 ALL APPLICABLE
USE CATEGORY
. OSingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE DNew
DChange
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAle
OMotors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE t<J
.. ,
v
DDryer DWater Heater
DElectric Sign
..
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VALUE (Including labor and all materials including light fixtures) $ /5 (JV
MASTER ELECTRICIAN
/;?~C;19
3/02