HomeMy WebLinkAbout0127837-Electric
G
OSHKOSH
ON THE WATER
Job Address 865 HERITAGE TRL
CITY OF OSHKOSH
No
127837
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
---~--------~-_._-_._~.__._------~-_.-
ETHEL M RASMUSSEN
Create Date 11/14/2007
Contractor
BULLSEYE ELECTRIC INC
Category ~2 - R~sidentia1:-Singlel'_~ily Add!!i.<~n/R
Plan
. N/A
Type 0 overl!~___Q__LJ~~~~g!-()~~---_J
Service
b New
o Change 0 Temp
Volts
Circuits
Luminaires
2
Amps
Switches
Receptacles
._~_.._~-------~--~_._-----------_._.,.._.,_.._-------.-
Appliances
I-U-
I
I
L
___~.____._____________._.______.___._.____..______.________.___._.._._..._____..._._n___
Use/Nature of iSFRTRemodeling the bathroom.
Work I
\
L____
No structuralchanges- newln-sulallOna nddrYwarr:-AileXhaustfan-wnrbe-iflstailed.-
'''-~---l
________,______-1
Issued By:
$800.00
'7----
(j~
Plan Approval $0.00
Permit Fee Paid $46.00
--_.~-_._----
Fees: Valuation
Date 11/14/2007
-~-_._..
0, Permit Voided 1
Parcelld # 0613960000
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
h~lder(S) and to sec"y n~s~ro~before starting such activity.
SIgnature ~ ~ Date
Agent/Owner
/I~/~- o?
Address
-_._---~~---_..__._.~---_._--- --------.-- ..-.-..--.---.--- .,.-----.-----..- .
2547 NEKIMI AVE
OSHKOSH
WI 54902 - 8855
Telephone Number (~Q)4~20-2490
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
(t)
OfHKOfH
ON THE WATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
check here
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade
if vou want this vrocessed through vour account 0
~'$" .--:
JOB ADDRESS ~~~ /4~.rTtodIt:: I;R .
OWNER . f!?Il-I~ ~~~~ ./!14-::>m44"S"SE.N
CONTRACTOJ{ ~"S~tS (!!?t!:.~t:'7~.:z:.~
DATE II./~. c 'T
CHECK 0" ALL APPLICABLE
USE CATEGORY
[!Single Family DDuplex
DMulti-Family
DRental
o Commercial
o Industrial
SERVICE DNew
DChange
DTemporary
~ot Applicable
TYPE DOverhead
DUnderground
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
I
Fixtures #
/
~
I
ReceptacJes #
Circuits #
Volts
Phase
Amps
CHECK 0" ALL APPLICABLE
ORange
man OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~#,II!~n7 #A1'7~~ <..
-
VALUE (lDclDdlng 'abDr and aU mat~ "'~ ~ :",r.es) $ ~. -
MASTER ELECTRICIAN /~ ~
3/02