HomeMy WebLinkAbout0127039-Electric
G
OSHKOSH
ON THE WATER
Job Address 6 LAKE ST
CITY OF OSHKOSH
No
127039
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
THOMAS J/KRISTI J MCGUIRE
Create Date 09/12/2007
Service
PNew
o Change 0 Temp
Category 612 - B.El.~ential-Si!1~~am_i!Y_AdditionlB Plan __________
-~---,
_- _~~~__j Type Overhead _____O_l,Jn~~rg_l"()u~~_______
Contractor
NORTHLAND ELECTRICAL SERVICES l
Volts
Circuits
Luminaires
24
Amps
Switches
Receptacles
Appliances
~
Use/Nature of SFRI Remodel Billiards and adjacent Bedrooms. Work to include adding-and relocating light fixtures, installing power receptacle & cablel
Work 'ack for TV, and installing wiring, light fixture and trenching for flag pole. i
I
I
,I
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$8,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$179.00
Fees: Valuation
Issued By:
Date 10102/2007
O_!:ermi~~~_~~~
Parcelld # 0803750000
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
1100 ORVILLE DR
NEW LONDON WI 54961 - 9418
Telephone Number 920-531-1197
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
D
OfHKOfH
ON THE WATI"R
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 participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
DATE 10-1 -2007
JOB ADDRESS 6 LAKE STREET
OWNER
TOM MCGUIRE
CONTR4CTOR N~RTHLAND ELECTRICAL SERVICES LLC
CHECK 0 ALL APPLICABLE
USE CATEGORY
DlSingle Family ODuplex
OMulti-Family
ORental
o Commercial
OIndustrial
SERVICE ONew
OChange
OTemporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles # 1 w / cable jack Circuits #
Volts
Phase
Amps
Switches #
Fixtures # 24
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
o Motors
ODishwasher
OFurnace
OGas Pumps
OGarbage Disposal
OAlC
o Other
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE Rpmode 1 of residence including:
adding and relocating light fixtures, instal ing power recept
jack for TV, and installinq wirinq, liqht fixt.ure and trenching
flag pole.
cab.le
for
VALUE (Including labor an~rials including light lb.tures) $ 8, 000
MASTER. ELECTRICIAN .. J ~ C;jQ ~ . -=ztf-. u q if 9 LfL .
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