HomeMy WebLinkAbout0127498-Electric
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OSHKOSH
ON THE WATER
Job Address 613 FREDERICK ST
Contractor ADVANCED ELECTRIC LLC
CITY OF OSHKOSH
No
127498
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner NU VIEW PROPERTIES LLC Create Date 10/26/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits Luminaires 6
Switches 5 Receptacles 5
Volts
Amps
Appliances Dryer
Use/Nature of REMODEL AREAS FOR CONVERSION FROM 2 FAMILY TO SINGLE FAMILY **check #5375
Work
$53.00
Fees: Valuation $850.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
Date 10/26/2007
D Permit Voided I
Parcelld # 0703590000
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
N3672 RED OAK DR
CAMPBELLSP( WI 53010 - 1883
Telephone Number 920-921-2499
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
OCT 25 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THF WATER
· 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 perrnit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. .
OR
Ifvou are a contractor varticivating in the Permit Fee Account Svstem and have adequate funds, check here
if you want this vrocessed throuf!h your account 0
DATE !tJ " 2 c3 ~. a '7
'.- '
JOB ADDRESS '7 /) j-vT'J.ev<'c- It
& ~~); ) 1r'0 ~. 7
f/-c) 'JM Vl (-.e d E)--e c- ,Jv , 't:..
I
OWNER
CONTRACTOR
CHECK 0 ALL APPLICABLE
USE CATEGORY
~single Family.. DDuplc:x []Mlllti:-Farni1y
SERVICE ONew o Temporary
OChange ONot Applicable
o Rental
o Commercial
TYPE OOverhead
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
,S
---
~
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
DIndustrial
ONot Applicable'
b
ORange
OFan OR Blower
DMotors
OGarbage Disposal
ONC
DOther
~bryer OWater Heater
'OElectric Sign
ODishwasher
OFurnace
DGas Pumps
ALL WORK BEING DONE
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"r:!'
VAL DE (Induding labor and all ~IS inclnd~t fixtnres) $
MASTER ELECTRICIAN k-.~
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tW, rJd
2-t/3 iPI'
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3/02