HomeMy WebLinkAbout0126953-Electric (garage)
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OSHKOSH
ON THE WATER
Job Address 300-304 W SOUTH PARK AVE
CITY OF OSHKOSH
No
126953
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ROMAN C ZELHOFER JR
Create Date 09/26/2007
Contractor
B & H ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
:0 New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Amps
15
Switches
3
Receptacles
5
8
Volts
120
Circuits
Luminaires
Appliances
Use/Nature of !3FR/304 South Park - Wire 24' X 30' Garage
Work
Fees: Valuation 1" $500.00
Issued By: 4;
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 09/26/2007
D Permit Voided I
Parcelld # 0904090000
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 'Cj)~ '3cJ~-=-- Date C) -dk,-O 7
Agent/Owner
Address
5421 NICKELS DR
OSHKOSH
WI 54904 - 9530
Telephone Number (920) 582-0303
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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, VVI54903-1130
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 particioating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throuf!h vour account 0
DATE 9 -..;2!!J -o{
'~oo.
JOB ADDRESS "301-\ (A-). Sourh '"?A Q.l<
OWNER KOkSY ~7..EL.L.~O:E\<-) ~
CONTRACTOR (j; t. L f {f; ~-1y--i_
1 '
CHECK lt1 ALL APPLICABLE
USE CATEGORY
[SJ,Single Family DDuplex
o Multi-Family
o Rental
o Commercial
o Industrial
SERVICE DNew
o Change
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts f;L '0 I
Phase I
Amps I ~ AVI.~
Receptacles # Q'
Switches # 3
Circuits # (
Fixtures # t:j
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE '-.-t ) I;:;: (10 l, 0-AkA b ~
~ ..........00 ()
VALUE (Including labor and all materials including light fixtures) $ ~I../
MASTER ELECTRICIAN ~ ~ 3~
3/02