HomeMy WebLinkAbout0127590-Electric (repair)
G
OSHKOSH
ON THE WATER
Job Address 648 W 9TH AVE
CITY OF OSHKOSH
No
127590
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
VICTOR D/NADALlE WALSH
Create Date 10/31/2007
Contractor
ROB'S ELECTRIC
Category 634 - Residential-Service Change
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Service
b New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Repair service - Replace bad cable, ground and bond as current code requires.
Work
Fees: Valuation . f}
Issued By: 4;;) .
$300.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 10/31/2007
D Permit Voided I
Parcelld # 0601230000
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 pe~~PPlication ithin an easeme t, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec6~ an nece efore starting such activity. 6 ~. 7
I I -. I '0
Signature / Date -t -
AgenUOwner
Address
2195 ALLERTON DR
OSHKOSH
WI 54904 - 8209
Telephone Number (920) 410-7622
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.
I" 2-
/ J' '1 \1
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
~
OfHKOfH
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
JOB ADDRESS C () t{ g
OWNER \Ji~
CONTRACTOR . ~(~
Ot.~
W {
~~l~
ff(:M r:
DATE/D. 3(-07
CHECK Ii:'.! ALL APPLICABLE
~ CATEGORY
~Single Family DDuplex DMulti-Family
SERVICE DNew o Temporary
DChange DNot Applicable
o Rental
o Commercial
o Industrial
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
l2cJ / 2)16
l
(00 ~
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK Ii:'.! ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAlC
DMotors DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE ~.1!"t
DDryer DWater Heater
DElectric Sign
~01C
VALUE (Including labor and all
307J
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MASTER ELECTRICIAN
3/02