HomeMy WebLinkAbout0127418-Electric
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OSHKOSH
ON THE WATER
Job Address 4015 HEMLOCK CT
CITY OF OSHKOSH
No
127418
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
p New
o Change 0 Temp
Owner WilLIAM C/CATHERINE K MARTIN Create Date 10/17/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 3 Luminaires 6
Switches 10 Receptacles 20
Contractor ELECTRICAL CONTRACTING SPECIAU:
Volts
Amps
Appliances
Use/Nature of SFR/ Remodeling the basement to include a living room, bedroom, and bathroom. This permit does not include mechanicals.
Work
Fees: Valuation
$1,800.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
$~
Date 10/23/2007
o Permit Voided I
Parcelld # 1282001413
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
4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOJH
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 participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throurzh vour account 0
DATE 1/)/1-'3/0,
( .
JOB ADDRESS '-/tJlr /kAl-1o,t; M-
OWNER ht_-r"f". - A rn,',k.. I>vi'lk~
CONTRACTOR
~C-~
CHECK 0" ALL APPLICABLE
USE CATEGORY
ItSingle Family o Duplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE ONew
o Change
OTemporary
(KJNot Applicable
TYPE OOverhead
OUnderground
}i'lNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles # '2-0
Circuits #
"4i3
to
Volts
Phase
Amps
Switches # ( c.?
Fixtures #
CHECK 0" ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
o Furnace
DGas Pumps
OGarbage Disposal
OAlC
o Other
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE J.(.L-"':> BA--~""" .......-.-...,- FIN' ~H
~f"'1 ~~""" ~'- rLua-... ~ <;~ J!f-..r_
VALUE (Including labor and all materials including light fixtures) $ 113 0--0 ~
MASTER ELECTRICIAN ~~'"'-
3/02