HomeMy WebLinkAbout0126936-Electric (misc work)
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OSHKOSH
Ol'} THE WATER
Job Address 1227 BROAD ST
CITY OF OSHKOSH
No
1269. 3~~
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09/25/2007
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DEBBY J PANSKE
Create Date
Contractor
QUALITY ELECTRIC
Category 612 - Residential-Single Family AdditionlR Plan
Service
b New
120/240
Circuits
Type 0 Overhead
2
2
o Underground
o Change 0 Temp
. N/A
Volts
Luminaires
Amps
100
Switches
Receptacles
6
Appliances
Use/Nature of SFR 1 MISC ELECTRICAL WORK THROUGHOUT THE HOUSE & GARAGE **check #4215
Work
Fees: Valuation $2,200.00
Issued By: ~&
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 09/25/2007
D Permit Voided I
Parcelld # 1507140000
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
3750 GLENBROOK LN
OSHKOSH
WI 54904 - 8517
Telephone Number (920) 410-5890
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
pivifion ofInspection Services
. <: P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
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DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRlcltSFigtfAAj1FJl<Pp~relfION
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 t~ 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
nonnaI pennit fee, which ever is greater.
OR
I(vou are a contractor particivatiny in the Permit Fee Account Svstem and have adeQuate funds. check here
i(vou want this vrocessed throuyh vour account D' .
'. DATE "-.JB~. 07
JOB ADDRESS / J.. d 7 .R{'COv.l S+~~:;\
OWNER De bby ~4A)S'/<'~ ;
CONTRACTOR () u..-~ II +-1 r {e.c + 1[', c..
CHECK Ia ALL APPLICABLE
USJ: CATEGORY
~ingle Family DDuplex
OMulti-Family
DRental OCommercial Dfudustrial
TYPE DOverhead ~ot Applicable
OUndergr01.md
"SERVICE ONew
OChange
OTemporary
OOot Applicable
. FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts /2 c:> I ';?Jj 0
:rhase I
. Amps / .t> c?
Receptacles # Ct
Circuits # :2
Switches #
2-
FIXt1ires #
CHECK Ia ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
OGarbage Disposal
ONC
DOther
DDryer OWater Heater
DElectric Sign .
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3/02