HomeMy WebLinkAbout0127830-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
127830
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
1113 W 11TH AVE
JAW.'S ELECTRIC
~w 0 Change 0 Temp
120/240
Owner
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STEVE NYHUIS
Create Date 10/26/2007
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Job Address
Volts
Category 610 - Residential-New Single Family Servi
() NIA Type Q Overhead
Circuits
Plan
Contractor
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Luminaires
Amps
200
Switches
Receptacles
Appliances ~
I
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Use/Nature of NSFR/ 1 story home with a two car attached garage, 3'x7.5' rear deCkofTthe-paHodoo~and a21'wiCie-coflcrete-drIvElway-:-------l
W.k \ I
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Fees: Valuation
$3,696:00
Plan Approval ___~O.OO
Permit Fee Paid $111.00
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Date 11/14/2007
Issued By:
o Permit Voi~
Parcelld # 1308120000
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 necessa~~ClY.e.~s before starting such activity. J} ~.
Signature ~. ~ (j,t f) ~~-, Date J} I} ~ __ 01
V - Agent/Owner / I
Address ?~21_FOND DU LAC '3~_____. 9_~!:lK()~J:L_ . WI_ ~1_9.o~_ - z.??_2. ... Telephone Number (~_20)~17-0_5?6___.____ .
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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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 you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this vrocessed through your account D
DATE
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JOB ADDRESS J ,I} 3 / J I/, Pi vE.
OWNER <;;7 EvE AI >' }-I \J LS
CONTRACTOR .J, A . 0,'..:s tf t.. E cJJ2 Ie
CHECK 0 ALL APPLICABLE
USE CATEGORY
raqSingle Family
SERVICE _New
OChange
DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
OTemporary
ONot Applicable
TYPE OOverhead
~Underground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts F () / c,\ 0
Phase I
Am ps 'Z c:;(-.;
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
OAlC
DOther
ODryer OWater Heater
OE1ectric Sign
DESCRIPTION OF ALL WORK BEING DONE
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6S ) bEA'7l(-} 0 LJ
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St~v )CE. 0111 ;:Ol.J~1 f\/IO.0 R&l1\j Fof< IllS"C/f; C/IO,,0
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VALUE (Including labor and all materials including light fixtures) $ 3 t.D /0 :..--
MASTERELECTRICIAN c}J f\ 0~~
3/02