HomeMy WebLinkAbout0128267-Electric (fire damage)
G
OSHKOSH
ON THE WATER
Job Address 17051727 MARICOPA DR
CITY OF OSHKOSH
No
128267
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner WHPC DOMINIUM LLC Create Date 12/26/2007
Category 633 - Residential-Multi-Family Addition/Re Plan
. N/A Type o Overhead o Underground
Circuits 2 Luminaires 8
Switches 2 Receptacles 4
Contractor DREXLER ELECTRIC
Volts
Amps
Appliances
Use/Nature of COMM - MULTI FAMILY (1721) / REPLACE FIRE DAMAGED CABLES .'check #4757
Work
Fees: Valuation $1,400.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 12/26/2007
D Permit Voided I
Parcelld # 1315200000
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
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
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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I au are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if vou want this orocessed through vour account 0
JOB ADDRESS I 7 2-/ M Y-1 (L (' caP 4
? OWNER w;,J~b~ t+v()6~ _ s;.r .~Ur
CONTRACTOR 0 (C er:LGiL .-' -e.c-trz-lc......
DATE lL.J7-01
CHECK 0" ALL APPLICABLE
USE CATEGORY
DSingle Family
DDuplex ~ulti-Family
/
o Temporary
~ot Applicable
DRental
DCommercial
o Industrial
SERVICE ONew
o Change
TYPE OOverhead ~ot Applicable
o Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I Z-e> /
Phase ~
Amps 1':::-
Receptacles # -7
Switches # 2--.
Circuits # ?
Fixtures # s:>
CHECK 0" ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
D Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
~ -( f? /4C e r/ tl ( f)rt- JVI 4g-e.f)
CA-llf.Lr:
VALUE (Indudtng labor and all mat,dals todudiog ligbt fixtures) $ ~. CO
MASTERELEcrRICIAN~ P . O~
3/02