HomeMy WebLinkAbout0127826-Electric (fixtures)
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OSHKOSH
ON THE WATER
Job Address 900 WINNEBAGO AVE
CITY OF OSHKOSH
No
127826
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KEVIN R DAWSON/JENNIFER D NEUMEIE Create Date 11/14/2007
Service
R5New
o Change
o Temp
Category 2-11 - Resident@,=-~~gle family_ Adg!ti~_I~/B Plan~____________
. N/A Type Q_Ov~r~5l~~____________Q_LJI1.cLe.~g!gLJ~____~_ ._]
Contractor
DREXLER ELECTRIC
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of [Duplex T Change Iightingflxfures-and mak-e-repalrs.-
Work !
Issued By:
$800.00
~
Plan Approval ~___~O.OO
Permit Fee Paid __ $46._OQ
Fees: Valuation
Date 11/14/2007
o F='.~it Vo_ided i
Parcelld # 0202640000
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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 9513
Telephone Number (~20)~89~6700____
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.
OJHKOJH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All infonnation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I Oll are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if vou want this processed through VOllr account 0
JOB ADDRESS q 00 fAll /I/I1..!~ 8/Ue)
OWNER tie VI AJ DA-t-tJ..5 0 ,J
CONTRACTOR 'iJ r2..c-x<-6-7[ C:LEC.-172/C
DATE /1-13-0 '1
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family riD up lex
OMulti-Family
ORental
o Commercial
o Industrial
SERVICE ONew
o Change
o Temporary
;l?lNot Applicable
TYPE DOverhead
DUnderground
~Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2-0 I
Phase .$--
/Sr
Amps
Receptacles #
Circuits #
Switches #
Fixtures # 12-
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALLWORK BEING DONE
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VALUE (Including labor and all materials including Ught fixtures) $
'17 ()/J (; G Q _0
MASTER ELECTRICIAN ~ ~
'i{V2>< 02-
RECEtVED
NOV 1 4 2007
DEPART\VIENT 00' pF l\AENT
ITY DEVEL '"
COMMUN ERVICES DIVISION
lNSPECTlON S .
3/02