HomeMy WebLinkAbout0126565-Electric
e
OSHKOSH
ON THE WATER
Job Address 817 HAZEL ST
Contractor BRIGHT STAR ELECTRICAL SERVICES
CITY OF OSHKOSH
No
126565
ELECtRIC PERMIT - APPLICATION AND RECORD
Owner DAVID J/KATHRYN E TUMMETT Create Date 09/04/2007
Category 612 - Residential-Single Family AdditionlR Plan
. NIA Type o Overhead o Underground
Circuits 2 Luminaires
Switches 2 Receptacles 2
Service
o New
o Change
o Teimp
i
Volts
Amps
Appliances
;
I
Use/Nature of SFR\ New bath wi hydro-massage tub
Work
Fees: Valuation
49~
$900.00
~Ian Approval
$0.00
Permit Fee Paid
$53,00
Issued By:
Date 09/04/2007
D Permit Voided I
Parcelld # 1105570000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshko has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this perm' plicati ' hin an eas. ent, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec re ny nece pefore starting such activity. I.. /
Signature I Date q /.:5 /0 7
I I
130
Agent/Owner
Address
OSHKOSH
WI 54902 - 2632
Telephone Number 920-232-8047
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
~
OiHKOiH
ELECTRICAL PERMIT APPLICATION
I
All information after bold categories must be provided.
)ncomplete applications will not be processed.
I
· Application(s) and fee(s) can be brdught to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Comme~cing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I au are a contractor artici atin: in the Permit Fee Account S stem and have ade uate unds check here
;fvou want th;, pro'""ed through tour account 0 DATE g,h;6?
JOBADDRESS Sl7 Hi ,?~!--{5r / F
OWNER []a /I ,0( ~ I(Q...t~ ~: . 7 u m 111 e rr-
CONTRACTOR DV-pt 5"1Qv EkctY','Cq) SeV'I//Ce.Sl L-LC
CHECK 0' ALL APPLICABLE
~E CATEGORY
~~ingle Family ODuplex gMulti-Family
I
SERVICE ONew DTemporary :
OChange ~ot Applic(j.ble
o Rental
o Commercial
o Industrial
TYPE DOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLAl~K WITH THE NUMBER
Volts /
Phase
Amps
;Receptacles # ~ Circuits # ~
iSwitches# 6L Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
OGarbage Disposal
OAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE )J<.lU & it, t"Ot3".vt
w/Hyd'fC) ?Uk
qw s;9-
VALUE (Including labor and all ma
MASTER ELECTRICIAN
3/02
.~
CORRECTION NOTICE / FIELD INSPECTION REPORT
CO,17 . ~ ()2ll
CONTRACTOR: ~) ('\( \..--l.., S\ 0<
PROJECT TO BE INSPECtED:\\Ql~
~ ,,>Ill} h
~
~
JOB LOCATION:
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
TYPE OF INSPECTION:
rf ~{I LI
f/p(1' 1'1 (a I
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
:l'1t.EMII "C,O]j~ INSPECTION RESULTS ,.....; ..... ./::1,.:. .,
J) ~i? -~ ; -rl/~ j...,~1 re- i! ~/{);?rtll AI-/' d /h ; )1 n I (j n;? n
'V .
.
.
.':
.
.
.
.'
o MailedIFaxed
./ 11:- ):,; 71
Phone #
Print Name
Company
Signature:
Date