HomeMy WebLinkAbout0130118-ElectricCITY OF OSHKOSH No 130118
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 GUENTHER ST Owner JOHN UMARY E SCHROEDER Create Date 04/25/2008
Contractor VAN ERT ELECTRIC CO INC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Ovefiead ~ Underground
Volts Circuits 1 Luminaires 6
GPs Switches 3 Receptacles 3
Appliances
Use/Nature of FR/ REMODEL KITCHEN & RELOCATING APPLIANCES AND ADDING LIGHT FIXTURES "check #3360
Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $77.00
^ Permit Voided
Date 05/22/2008
Parcelld # 0607450000
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
Address 2000 PROGRESS WAY
Agent/Owner
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888 462-14<
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 1 I30
Oshkosh, WI 54903-1 I30
Phone (920) 236-5050
Pax (920) 236-5084
Z
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ON THE WATER
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 $100.00 plus
normal permit fee, which ever is greater.
OR •
If you are a contractor Darticinatine in the Permit Fee Account System and have adequate funds check h,
~f you want thrs processed through vour account ^
DATE J`~
CHECK 67 ALL APPLICABLE
CATEGORY
Ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^ emporary TYPE ^Overhead I~INot Applicable
^Change. ~ot Applicable ^Unilerground / "
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~~ / Receptacles # Ctreuits #
Phase
GPs ,~ Switches #~ Fixtures #~_ .
,CH(HECK B! ALL APPLICABLE
1[~Ran$e ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
l7Fan OR Blower ^Furnace ^A/C ^Electric Sign
G1Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE_ Ic~4c~~ ~ ~y~,
i _ n. ,. ,~
VALITE (Including labor and all materials including-tight fixtures) $ ~~~F~
MASTER ELEC'TR3CIAN _ L ~~
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JOB ADDRESS ~~'~ ~~~'C`~'1'lf+~~ .