HomeMy WebLinkAbout0130213-ElectricCITY OF OSHKOSH No 130213
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 45 LAKE ST Owner INSIDE OUT CONSTRUCTION LLC Create Date 05/28/2008
Contractor VAN ERT ELECTRIC CO INC Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change Q Temp ~ N/A Type Q Overhead ~ Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of
Work
VE Job #F2111-AL.
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: ~~ Date 05/29/2008
Permit Voided
Parcel Id # 0803570000
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 2000 PROGRESS WAY 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 pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 1 30
Phone (920) 236-5050
Fax (920) 236-5084 ~ (~~( H
ON THE WATER
ELECTRICAL PERMIT APPLlCATl~N
All information after bold categories must be provided.
Incomplete applications will aot 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 •
Ifvou are a contractor Darticinating in the Permit Fee AccountSvstem and have adequate funds check h.
~f you want this processed through vour account ^
_ DATE
CHECK ~ ALL APPLICABLE
CATEGORY
Ingle Family ^Duplex ^Multi-Family
SERVICE ONew ^Temporary
^Ghange. Not Applicable
t]Rental ^Commercial ^Industrial
TYPE ^Overhead t]Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NITMBER
Volts / Receptacles #
Phase • .
GPs Swltcltes #
CHECK ~( ALL APPLICABLE
ge
[~ an OR Blower
[7Motors
_ OD~i shwasher
urnace
^Gas Pumps
DESCRIPTION OF ALL WORK BEING
^Garbage Disposal
^A/C
^ Other
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
~~ ~ ~~
VALUE (Including labor and all materials includtng light fixtures) ~ ~
MAY 2 9 2008
MASTER ELECTRICIAN _ ~ ~'~
~~~
c DEPARTMENT OF
~qlv}"""~VELOPMENT
L~ /~ INSPECTION SERVICES DIVISION
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