HomeMy WebLinkAbout0126431-Electric (a/c)
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OSHKOSH
ON THE WATER
Job Address 1005 MASON ST
CITY OF OSHKOSH
No
126431
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
NANCY L HOLLAND
Create Date 08/23/2007
Contractor
HELMER ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
18 New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances !;ir conditioners
Use/Nature of ~FR / Wire 2 mini split air conditioners.
Work
Fees: Valuation
$150.00
/-,
///7 l/I-X")
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/23/2007
D Permit Voided I
Parcelld # 1307600100
I n 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
W3547 HILLSIDE CIR
MALONE
WI 53049 - 1689
Telephone Number (920) 922-2270
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.
May. 22. 2007 9:2PM
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 ~30
Phone'(920) 236-5050
FaX {920} 236-5084
irsoect on serVlce3
Ilo. 2766 P.'
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bfH<OiH
C:>N THF WATER
ELECTRICAL PERMIT APPLICATION
All information afteT bold categories :c:Jl.M be provided.
Incomplete applications will not be proce$$ed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or n:mled to Inspection Services, PO Box 1128,
Oshkosh WI 54903..1128. Commencing work without pernrit(s) will reSult in fees being doubled or $100.00 plus the
normal penni.t fee. which ever is greater.
OR
If vo." are 11 contractor Darticil1ati"p ill the Permit Fee Account Svstem and have adequate funds. check here
lfYQU waif' this procl!sSI!d t"'rouph VOrlr accouTlt 0
CHECK er ALL APPUCABLE
USE CATEGORY
BSinglc Family
'sERVICE, DNew
OOlange
.JOB ADDRESS
OWNER.
CONTRACTOR
\005 ~~ <St\ef::f
~~~'
DATE 8 .~-\)1_
ODuplex
[JMuIti.Family
ORental
DCommercial OIndustrial
OTempmary
ONot Applicable
TYPE OOverhead DNot Applicable
OUnderground
FlLL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:Phase
:AmPs
,
Receptacles #
C"JrtUits '#
Switches #
Fimtres #
CBEac eJ ALL APPUCABLE
ORange
DFan OR Blower
[]Moton;
DDisbwasher
ClFumace
DGas Pumps
~bage Disposal
DOther
0Dryer DWateT Heater
OElectric Sign
-
l>ESCllIl'TIO~~ ~ ~-::~ DONE 'I'l\(e Gl1 ml(\ \ 'bf1\~= ~ ::::
RECEIVED
AUG 2 3 2007
DEPARTMENT OF
COMMUNITY DEVEl()j>J4fNT
INSPECTION SERVICES DIVI6ION
.. vAtm~U~laboraud.n_~~):22:
MASTERELEC'l'RICIAN , ~.
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