HomeMy WebLinkAbout0126446-Electric
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OSHKOSH
ON THE WATER
Job Address 384 WINDINGBROOK DR
Contractor ELECTRICAL CONTRACTING SPECIAL!:
CITY OF OSHKOSH
No
126446
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner ARMSTRONG TRUST Create Date 08/14/2007
Category 612 - Residential-Single Family Addition/R Plan
. NIA Type o Overhead o Underground
Circuits Luminaires 4
Switches Receptacles 7
Service
pNew
Volts
Amps
Appliances
Use/Nature of SFR/ Finishing off a section of the basement for an exercise room 1 bedroom.
Work
Fees: Valuation $810.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$53.00
Date 08/23/2007
D Permit Voided I
Parcelld # 0614403700
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 nece~sa9' ap~.als before starting such activity.
Signature ~~ Date
Agent/Owner
e/zr/D?
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.
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
If you are a contractor particivatinz in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuzh your account 0
DATE ~/Z~/bl
JOB ADDRESS _? B c.; t/(......l,~ hrnk
OWNER ..A-rM~1VDY
CONTRACTOR C/-u-rr.'c-J &"'~~ ~~.ru:-;A.(,'"?I> ILL<:'"
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V o]ts
Phase
Amps
I
Receptacles #
'7
Circuits #
/
t;
Switches #
I
Fixtures #
CHECK Ii1 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
o Furnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE 154 ~~ /J-4l.....0 D~ ..4J.) {n '~'"
VALUE (Including labor and all materials including light fixtures) $
C6ID ~
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111
1
MASTER ELECTRICIAN ~
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