HomeMy WebLinkAbout0127955-Electric (outdoor lighting)
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OSHKOSH
ON THE WATER
Job Address 2616 B FOND DU LAC RD
CITY OF OSHKOSH
No
127955
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JOHN R1GINA M EIDEN
Create Date 11/27/2007
Contractor
DREXLER ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Volts
Circuits
Type 0 Overhead
2
o Underground
Luminaires
12
Amps
Switches
4
Receptacles
4
Appliances
Use/Nature of SFR /INSTALL LIGHTING, FIXTURES AND SWITCHES FOR OUTDOORS
Work
Fees: valu~.n ... & $1,300.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 11/27/2007
D Permit Voided I
Parcelld # 1413343300
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 (920) 589-6700
w
-.1
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOJH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if vall want this orocessed throueh vour account 0
') It' r::6 pJ p D \J 'lA( Re.4-v-..
JOB ADDRESS c:;;A-. to 10 . I . /
OWNER ~ t+.u t:: I ~ e-rJ
CONTRACTOR j)t2.. e- >(LG~ E. LE tTe ( c..
DATE 11-2-0-D"t
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE ONew
o Change
DDuplex
DMulti-Family
DRental
o Commercial
o Industrial
o Temporary
~Not Applicable
TYPE DOverhead ~ot Applicable
o Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2D /-
Phase ~.
Amps /
Receptacles # ~
Switches # 'I
Circuits # d---
Fixtures # /.:l-.....
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
· DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE -::;:::~:5T;j-t(
SWlnh-o ~tL cJUTD0ur't......5,.t
A 1~c;JA T / ~ ) h rx/zJ.e€.5
- ./
VALUE (Induding labor and all ma,oria;:!,'"dUdlng Ugb' fixtur,,)$ / 3 0 f) . [) 0
MASTER ELECTRICIAN ~ D. D~~
3/02
77-