HomeMy WebLinkAbout0131966-Electric (service change)i
CITY OF OSHKOSH No 131966
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER ',
Job Address 438 W 6TH AVE Owner EILEEN E BRENNAND Create Date 07/31/2008
Contractor BULLSEYE ELECTRIC INC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change Q Temp ~ N/A ' Type ~ Overhead (~ Underground ___~
Volts Circuits 2 Luminaires
Amps _ Switches Receptacles
Appliances Baseboard Heaters
Use/Nature of
Work
BASEBOARD
Plan Approval
Permit Fee Paid $77.00
^ Permit Voided
PANEL
Fees: Val
Issued By:
Date 07/31 /2008
Parcelld # 0905380000
In the pertormance 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 secur any ne ary approvals before starting such activity.
Signature ~~,.~.~<~ ?-,! ~z '' Date `~..~~- u~cc~
Address 2547 NEKIMI AVE
Agent/Owner
OSHKOSH ~' WI 54902 - 8855 Telephone Number (920) 420-2400
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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
Division of Inspection Services ~,
P.O. Box 1130 ~,
Oshkosh, WI 54903-1130 !
Phone (920)236-5050
Fax (920) 236-5084 I--I
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed:
i
• 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
DATE ~ . 3l - ~
CHECK 0 ALL APPLICABLE
i
USE CATEGORY ~~
®'Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ~NOt Applicable
FILL IN THE APPROPRIATE BLANK WITH THl
Volts / Receptacles #.
Phase
Amps Switches #~
CHECK 0 ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
^Rental ^Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
^Underground
NUMBER
Circuits #
Futures #
;e Disposal ^Dryer ^Water Heater
^Electric Sign
~S~~o ,~,~9T~.~GT
'S iA~G
VALUE (Including labor and all materials. including
MASTER ELECTRICIAN
futures) $ c~ . ~
3/02
if you want this processed through your account (J
JOB ADDRESS ~~ ~ ' ~, ` ' ~ t/~ i ~ 7"~=