HomeMy WebLinkAbout0128084-Electric (garage addition)
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OSHKOSH
ON THE WATER
Job Address 3392 HARBOR BAY RD
CITY OF OSHKOSH
No
128084
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TYE M/KI M MOLSON
Create Date 11/02/2007
Contractor
BULLSEYE ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Circuits
Type 0 Overhead
5
o Underground
Volts
Luminaires
12
Amps
Switches
2
Receptacles
12
Appliances
Use/Nature of SFRI GARAGE ADDITION" 2 car attached garage addition.
Work
Fees: Valuation
$2,000.00
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Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 12/07/2007
D Permit Voided I
Parcelld # 1550310000
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 se_oy ne?ry 3l?lro~ before starting such activity.
Signature p~J (~ Date /d.a7.o-:}-
Agent/Owner
Address
2547 NEKIMI AVE
OSHKOSH
WI 54902 - 8855
Telephone Number (920) 420-2400
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
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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 $100.00 plus the
nonnal permit fee, which ever is greater.
OR .
If yOU are a contractor participatin$! in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account 0
JOB ADDRESS
~
OWNER / $I'
CONTRACTOR
'S~ 01 hf't,e~ &y /i;.
.
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DATE /.;).~. 0 "7-
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
DCommercial
o Industrial
SERVICE DNew
o Change
DTemporary
~ot Applicable
TYPE DOverhead
DUnderground
1BN"0t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles # / ~
Switches # CJ>.
Circuits # <;;:'
Fixtures # / ~
CHECK 0 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAlC
DMotors DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE ~~~
DDryer DWater Heater
DElectric Sign
~.t. /t49~.:r~e,/'J
.
VALUE (Including labor and JiIJ materials including light fIXtures) $ ~.
MASTERELECTRICIANd ~~
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3/02