HomeMy WebLinkAbout0126571-Electric (washer/dryer)
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ELECT~IC PERMIT - APPLICATION AND RECORD
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CITY OF OSHKOSH
No 126571
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OSHKOSH
ON THE WATER
Job Address 3865 3867 WESTERN DR
Owner
YORKSHIRE CONDOMINIUMS
Create Date 09/04/2007
Contractor JK ELECTRIC
Category 612 - Residential-Single Family Addition/13
Plan
Service
b New
. N/A
Type
o Overhead
o Underground_____J
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature oflSFR T(3865) Wi re-newwasher-& dryer---
Work
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Fees: Valuation $85.00
Issued By: ~
Pla,n Approval
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$0.00
Permit Fee Paid
$25.00
Date 09/04/2007
o Permit Voide~
Parcelld #
In the performance of this work I agree to perform ~II work pursuant to rules governing the described construction.
While the City of Oshk sh has no authority to enfdrce easement restrictions of which it is not a party, if you perform the work
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described in this perm I1P 'cation within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec at ecessa p ovals bFfore starting such activity.
Signature ....! Date
i Agent/Owner
Address
__-+-_ NE\^{~ONDON YVJ... 54961 . - 893L Telephone Number (92QL9_82-7ilj_8._
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To schedule inspections please call the Jspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, ett.), 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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ELJCTRICAL PERMIT APPLICATION
All iinformation after bold categories must be provided.
i Incomplete applications will not be processed.
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· 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. Commdncing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is gr~ater.
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If you are a contractor particioati g in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuf{h 'your account 0
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DDuplex DMulti-Family
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DTemporaIJf
DNot Applicable
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FILL IN THE APPROPRIA TE BLA~K WITH THE NUMBER
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. Receptacles #
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I Switches #
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ORange DDishwasher I DGarbage Disposal
DFan OR Blower DFurnace I DAlC
DMotors DGas Pumpsl DOther
DESCRIPTION OF ALL WORK BJING DONE )Jf'V
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ON THF WATFR
DATE
1-'/-07
JOB ADDRESS
3g'l6s
OWNER
CONTRACTOR
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family
DRental
DCommercial
DIndustrial
SERVICE DNew
DChange
TYPE DOverhead
DUnderground
DNot Applicable
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Circuits #
Volts
Phase
Amps
Fixtures #
CHECK 0' ALL APPLICABLE
DDryer DWater Heater
DElectric Sign
{VC14er / D7" r-
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VALUE (Including labor and all mate)l;lls includin
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MASTER ELECTRICIAN
3/02