HomeMy WebLinkAbout0126445-Electric
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OSHKOSH
ON THE WATER'lclb
Job Address ~ HEMLOCK CT
CITY OF OSHKOSH
No
126445
Service
:_ New
o Change 0 Temp
Owner PORTSIDE BUILDERS Create Date 08/07/2007
Category 611 - Residential-New Single Family Wirin Plan
o NIA Type o Overhead o Underground
Circuits 25 Luminaires 25
Switches 20 Receptacles 40
Contractor
ELECTRICAL CONTRACTING SPECIALI
Volts 120/240
Amps 200
Appliances Range, dishwasher, furnace, garbage disposal, dryer, ale
Use/Nature of NSFRI New single family' 1 story, 2 car attached garage and 12' x 12' deck. Permit includes temporary service.
Work
Fees: Valuation
$5,100.00
~
Plan Approval
$0.00
Permit Fee Paid
$145.00
Issued By:
Date 08/23/2007
o Permit Voided I
Parcelld # 1282001406
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 e~3('t7j
Agent/Owner
Address
4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
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.
"'r_
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 vou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account 0
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JOB ADDRESS ~ ~V>ck. ~1. tj1t:f- #1
OWNER 11 r-1->5., 'h /tv (f k-5
CONTRACTOR O~tYJuJ (!,pt~)~_e~?Jtlrl."!>fJf
DATE
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CHECK 0" ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
SERVICE ~New
DChange
~Temporary
DNot Applicable
TYPE DOverhead
}lJUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
f2D / 2'10
(
~
Receptacles # '/D
Switches # P
Circuits #
~.s--
f).- :/"-'
Fixtures #
CHECK 0 ALL APPLICABLE
~Range
DFan OR Blower
DMotors
~ishwasher
9lfurnace
DGas Pumps
~Garbage Disposal
IilAlC
o Other
K1Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE 11'5 FI2..
VALUE (Including labor and all materials including light fixtures) $ bl tD
MASTER ELECTRICIAN ~ ~~
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