HomeMy WebLinkAbout0128248-Electric (receptacles)
G
OSHKOSH
ON THE WATER
Job Address 650 W 19TH AVE
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
128248
Owner
MICHAEL J RUTHERFORD
Create Date 12/20/2007
-.---.--
Contractor
QUALITY ELECTRIC
Category 612 - Besidential-Single Family Addition/R
Plan
Service
Volts
o New
120/240
o Change 0 Temp
. !'J/A
Type ClQ~r~~~~_O_LJQ.~~L9ro~~___J
Circuits
Luminaires
Amps 100
Switches
Receptacles
Appliances
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Use/Nature of [SFR 1 REPLACE 2 KITCHEN, 2 BATH AND1TAUI'fDRY RECEPTACLES-(fOTAL Oni RECEPTACLES)-**chec-k#423S--------'
Work !
Fees: Valuation $275.00
Issued By: ~---
Plan Approval $0.00
Permit Fee Paid $25.00
~-_.__...._._._-
Date 12/20/2007
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D_-,=~rmit V~~
Parcelld # 1408010000
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
~.?E9 G!-ENBBOQK L~___________ (}~HK.9~_f-L__ 'tJJ..~904_ - ~EJL_ Telephone Number (9.2g)4:1_Q~589_0
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
DivisiOti of Inspection Services
P.O. Box 1130
Osbkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
ON THF W^TER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be broughtto 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
[fvou are a contractor 1Jartici1Jatin~ in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this Drocessed throu~h va";' accoim~ 0 .
DATE /2- ').c?- ~ 1
JOB ADDRESS ios'O \0e.:sT l~f1h 61('e~
OWNER "m! Oha"eL ((U~~~
CONTRACTOR ~ ~ ,\ ~ e1-eC +r \c..
CHECK fa ALL APPLICABLE
~ CATEGORY
ytSingle Family . DDuplex OMuIti-Family
."SERVICE. DNew DTemporary
DChange DNot Applicable
ORentaI OCommercial DIndustrial
TYPE OOverhead )?tN-ot Applicable
DUnderground
. FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts /2(; f 2lfo
~hase I
. AmPs jf).f;
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK Iia ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
DFan OR Blower OFurnace DAlC
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE K.e~ \ac. -e Z k ~lc ~ () eve'S\}.) '} tk G- r I. j
R.e{( 1\~ t -e 2. B PI 1h ~ c~ ~ UJ / 6- ~J:.. ./ ~ P I a.. et SA-;J!\""l'l'r f.t&c, @ ~vUJtf:l{'1
b- F1: .
DDIyer DWater Heater
DElectric Sign .
tV;~
MASTER ELECfRlCIAN
. feelzs.cJ8
" " VALUE (Including labor and all materi
3/02