HomeMy WebLinkAbout0126453-Electric
to
OSHKOSH
ON THE WATER
Job Address 815 KEENVILLE LN
CITY OF OSHKOSH
No
126453
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DONNA M LANDERS
Create Date 08/24/2007
Contractor
ROB'S ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / Remodel room in basement. Miscellaneous electrical work.
Work
Fees: Valuation
$300.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/24/2007
o Permit Voided I
Parcelld # 1519620202
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 ag ion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur y n ess pprovals arting such activity.
Signature
Date <a' 2- C( ~ 0'7
gent/Owner
Address
2195 ALLERTON DR
OSHKOSH
WI 54904 - 8209
Telephone Number (920) 410-7622
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
~
OfHKOfH
ON THE WATER
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
]fyou are a contractor participatinf! in the Permit Fee Account System and have adequate funds, check here
if yOU want this orocessed through your account D
JOB ADDRESS 8/') ~l/l/l/I((f.
OWNER D~I\)f\JP1- !AP1j~9
CONTRACTOR If/.rg ~~i-z...
DATE ~- 2-i~ 07
LA
CHECK ~ ALL APPLICABLE
USE CATEGORY
~gle Family
SERVICE DNew
o Change
DDuplex
DMulti-Family
DRental
DCommercial
o Industrial
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower o Fumace DAlC
DMotors DGas Pumps o Other
DE~PTION OF ALL WORK BEING DONE /f~~
t:1b..o-VL/\ ~ $( . t;/e e-Ix (~
DDryer DWater Heater
DElectric Sign
~.9F.M/1g/'V(
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MASTER ELECTRICIAN
3/02