HomeMy WebLinkAbout0126836-Electric
G
OSHKOSH
ON THE WATER
Job Address 420 E MELVIN AVE
CITY OF OSHKOSH
No
126836
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
GERALD A ARMS
Create Date 09/05/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
0- Change OTemp ___I'!/A
Type 0 Overhead
2
o Underground
Volts
Circuits
Luminaires
2
Amps
100
Switches 2
Receptacles
7
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i
I
I
______J
Appliances
UselNature of SFR i City rehab 1 Provide GFCI protection where needed, new outlets in kitchen, bath, and living room, new light in kitchen above sinI<.l
Work new fan 1 light in bedroom with switch, vent fan in bathroom, and two outside outlets. I
L
Fees: Valuation
$2,370_00
0.//1/1..<7
Plan Approval
$0.00
Permit Fee Paid __$94.00
Issued By:
Date 09/18/2007
o Permit Voi~
Parcelld # 1008790100
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 easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
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.
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Faith Technologies->
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City of Oshkosh
DiviSion ofInspMiQnSeMees
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-'050
Fax (920) 236.5084
ELECTRICAL P'ERNltT APPLlCA flOM
. All information ;ijler bold ~_orles m1.Jsi 'be Provided.
Incomplete applications wiUnot bepro;essed.
. . Application(s) and fee(s) can be brought to CitY Hall, Room 205 or mailed to Irispection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
D.onnal permit fee, which ever is greater.
OR
s check here
DATEq", \l-O'l
. JOB ADDRESSgd.O E: t'V\C'1 V'l n ~.
OWNER c;o r~rrY\S
. CONTRACTOR .1 ()t ur'\ c\.. CDl..Lvr\-rj fJDL4:hc:.9t?<O- c7\;( 5 ~4 5 (J 7
CHECK ~ ALL APPLICABLE
USE CATEGORY
29Single Family
SERVICE DNew
DChange
DDuplex
OMulti-Family
DRental
DCommercial DIndustrial
DTemporary
~ot Applicable
TYPE DOverhead
DUnderground
ENot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I Receptacles # 1
Phase I "'V .
Amps (bO Switches # ~
(,,))
Circuits # ;;.<j')()(j.JV\p
Fixtures #~ C ~)
CHECK 0 ALL APPLICABLE
ORange
ClFan OR Blower
CJMotors
DDishwasher
DFumace
OGas Pumps
DGarbage Disposal
DAle
o Other
DDryer OWater Heater
DElectric Sign
DESCRiPTION OF ALL WORK BEING DONE
:< 3 7-t1 Or)
VALUE (Including labor and all materials including light fixtures) $ q 00.00 ' .. t:'<.. (. .' II .53 ~ 0
MASTER ELECTRICIAN J2id1rua/ 4- L ~ 91 ,/~ 9~m
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