HomeMy WebLinkAbout0131907-Electric/~'I'~ CITY OF OSHKOSH No 131907
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3221 MOCKINGBIRD WAY Owner' STEVEN E/SHERRY TAYLOR Create Date 07/29/2008
Contractor HOEHNE ELECTRIC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ~ Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
UselNature of
Work
Fees: Valuation $1,700.00 Plan Approval ! $0.00 Permit Fee Paid
Issued By:
Permit Voided
Q~~ ~~
Date 07/29/2008
Parcel Id # 1336110000
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 N1798 JUNCTION LN BERLIN WI 54923 - 8923 Telephone Number (920) 379-8200
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.
i
City of Oshkosh ~ ~~~ 5`~"~ for ~,~-~- y o~ ~~~
Division of Inspection Services ~~~ ~~~
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~O~I I
Fax (920)236-5084
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 the
normal permit fee, which ever is greater.
OR
if you want this processed throu~your account
DA'
CHECK B ALL APPLICABLE
U E CATEGORY
Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ^Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
^Rental ^Commercial ^Indtzstrial
TYPE ^Overhead ^Not Applicable
^Underground
CHECK H ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
Circuits #
Fixtures #
VALUE (Including labor and all materials including light fixtures) $ ~Q ~ ~~
MASTER ELECTRICIAN
3/02
^Garbage Disposal ^Dryer ^Water Heater
^A/C ^Electric Sign
^Other