HomeMy WebLinkAbout0126477-Electric
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OSHKOSH
ON THE WATER
Job Address 25 W 12TH AVE
CITY OF OSHKOSH
No
126477
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner JOSEPH M LENTZ Create Date 08/09/2007
Category 611 - Residential-New Single Family Wirin Plan
. N/A Type o Overhead o Underground
Circuits 3 Luminaires
Switches Receptacles 6
Contractor JK ELECTRIC
Service
b New
Volts
Amps
Appliances Range
Use/Nature of SFRI Remodeling the existing kitchen (no walls will be moved) and installing washer and dryer hookups in an existing closet off the
Work kitchen.
Fees: Valuation
$500.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/27/2007
D Permit Voided I
Parcelld # 0303570000
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 aJ:j Iicatio within an asement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure als efore,starting such activity.
Signature I )2
Address E9102 iNSKE RD
Date
fl'-- d 7-0 '")
Agent/Owner
NEW LONDON WI 54961 - 8938
Telephone Number
(920) 982-7848
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 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
If you are a contractor participatinil in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throuilh your account 0
DATE
2- ~'7-(j7
JOB ADDRESS
Jde
OWNER
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Le", +-'-
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CONTRACTOR
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex
DMulti-Family
DRental
DCommercial
o Industrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
fo
~
Circuits # ~
V oIts
Phase
Amps
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
If'RangeG&'-s
DFan OR Blower
DMotors
~Dishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
('ekJ\~
Kif-
VALUE (Including labor and all mj. at' . als incloding light fixtures) ~
MASTERELECTRICIAN .!n,f 9-
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3/02