HomeMy WebLinkAbout0126536-Electric
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OSHKOSH
ON THE WATER
Job Address 1402 W SOUTH PARK AVE
CITY OF OSHKOSH
No
126536
ELECT~IC PERMIT - APPLICATION AND RECORD
Owner
ROBERT D/JOYCE MABEL
Create Date 08/14/2007
Contractor
HULLAR ELECTRIC LLC
Category 612 - Residential-Single Family Addition/R Plan
Service
K5 New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits 5
--_.---~-----
Luminaires
Amps
Switches
10
Receptacles
20
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Appliances
I
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Use/Nature of
Work
ONDO/ Remodeling the basement to .include a family room, bathroom, bedroom, and an office area. (see the plan review in the file)
F.." V"",~"'00.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 08/30/2007
o Permit Void~
Parcelld # 1307280606
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 ease"lent, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure ss ~y€fore starting such activity.
Signature (" Date
AgentfOwner
$I --10 -u7
Address
4932 W 9TH STREET RD
OSHKOSH
WI 54904 - 6530
Telephone Number (9~0) 233-3667
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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 vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
DATE g /.1D /07
. ,
JOB ADDRESS
OWNER Rob
CONTRACTOR
/L/01... So~}L
Ab,1
I-JIA./ /"1" E' Ie~J (",',
Ps-r J.
CHECK 0 ALL APPLICABLE
USjVCATEGORY
0Single Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE DNew
DChange
o Temporary
DNot Applicable
TYPE DOverhead
o Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles # -2 c)
Switches # j 0
Circuits # 5"
V oIts
Phase
Amps
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAle
DOther
{... 1'11\ l / ny
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
-IL
[lent'r'\rnj
VALUE (lnduding labor and all mater;al, ;ndnd;ng~.ight fixtures) $
MASTER ELECTRICIAN ~~ .
I '00, OJ
3/02