HomeMy WebLinkAbout0127739-Electric
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OSHKOSH
ON THE WATER
Job Address 2213 MOUNT VERNON ST
CITY OF OSHKOSH
No
127739
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ROBERT R VROMAN III
Create Date 11/08/2007
Contractor '{AN ERT EL~y2.RIC CO IN~____ Category
Service ~New-----. Cha~ge-O-Temp--'---ON/A-----1
~'----_.._-_._~_._.____._._._.___~.J
Volts _..._~9j~1Q Circuits
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Plan
Type.Qv~r_hElCld__
_______OLJ n (je rg rOu.rld____
Luminaires
Amps 200
Switches
Receptacles
Appliances
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Use/Nature of ISFR / Wiring 16' x 20'-3" addition. to include a new kitchen and bedroom. Relocate and upgrade service to 100 amps. All wiring to meet 1
Work furrent code requirements. (VE job #F2040-AU) ..check #3259 i
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Fees: Valuatio~rv:\.T $2,650.00
Issued By: ~
Plan Approval $0.00
Permit Fee Paid ____ $94.~0
Date 11/08/2007
Permit VoidedJ
Parcelld # 1515940000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920~T66-3888. 462-14~
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
OshkQs~ VVI54903-1130
Phone (920) 236~5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICA TrON
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THE 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 permit(s) will result in fees being doubled or $1'00.00 plus'
,normal permit fee, which ever is greater. .
OR
I ou are aeontraetor artici atin in the Permit Fee Account S stem and have ade uate unds eheck h.
i(vou want this lJrocessed through your accoun't 0
JO~AnDRESS b:b V~
OWNER 2-213 IUd - V.-lVVlOv\
y' ~&+ 9d-n'C.
DATE IrI/1/01
CON'QU:CTOR
CHECK Itf ALL APPLICABLE
f1nE CATEGORY .
Fingle Family ODuplex . OMulti-Family
SERVICE ONew OTemporary
o Change ONot Applicable
DRental o Commercial o Industrial
TYPE M2verhead . ONot Applicable
OUnderground .
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts- (2..() I .::14iJ
Phase
Amps
Receptacles #
Circuits #
Swltcfies #
Fixtures #
CHECK Itf ALL APPLICABLE
ORange DDishwasher . OGarbage Disposal
OFan OR Blower OFurnace ONe
DMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ~ m
()Q vtj..-'~d
ODryer DWater Heater
OElectric $ign
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MASTER ELECtRICIAN
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YE Jl
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VALUE (Including labor and all materials including light fixtures) $ oSl (p 6:b,60
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