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OSHKOSH
ON THE WATER
Job Address 1053 ADAMS AVE
CITY OF OSHKOSH No 131965
ELECTRIC PERMIT -APPLICATION AND RECORD
R
Contractor HULLAR ELECTRI
Service ~ New 0
Volts 120 / 240
Amps 200
Appliances Range, Fan or Bloc
Use/Nature of
Work
Fees: Valuation
Issued By:
LLC
Temp
ev~se
Owner DANNY LENZ Create Date 06/24/2008
Category 611 -Residential-New Single Family Wirin Plan
N/A Type ~ Overhead ~ Underground
Circuits Luminaires
Switches Receptacles
..,~......,~. , ....... , ......,.y.... ~r.,~..., r., , .... ~...,
Plan Approval $0.00 Permit Fee Paid $145.00
^ Permit Voided
Date 07/31 /2008
Parcel Id # 1606600000
In the performance of this work I~gree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has n authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit applicati within an easement, the City sVongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 379-8148
a
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 No 131965
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1053 ADAMS AVE Owner DANNY LENZ Create Date 06/24/2008
Contractor HULLAR ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Service New ~ Change 0 Temp ~ N/A I Type ~ Overhead ~ Underground
Volts 120 / 240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
- --
Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C, Dryer, Water Heater
I
NSFR /WIRING FOR NEW HOME
I
~~
vv F'ian Approval $0.00 Permit Fee Paid $145.00
Date 07/31 /2008
^ Permit Voided ~ Parcel Id # 1606600000
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 nec pr Is be~f e sta g such activity.
Signature .~~a~//~ ' Date
Address 4932 W 9TH STREET RD
OSHKOSH ' WI 54904 _6530 Telephone Number (920) 379-8148
I
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 54903-1130
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.
01HK01H
ON THE N/ATER
• 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 permits} will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. ',
OR ',
If you are a contractor narticipatinQ in the Permit Fee Account System and have adeguate funds check here
if you want this processed throwyour account ^
/ DATE /
JOB ADDRESS J D S 1 ~~„ „ ~r~cL
OWNER L t~c ~o r-//~ ~ C~.~.,/'r~ c~~
CONTRACTOR /~~ ~(t~ ,C < < ~Ti~',
CHECK 0 ALL APPLICABLE
USE ~ArTEGORY
mgle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ia'New ^Temporary TYPE ^Ov head ^Not Applicable
^Change ^Not Applicable ', nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ! 2~ / ZY~ Receptacles #
Phase 1 '
Amps Z yJ ,,, Switches #
CHECK B ALL APPLICABLE
~ange &~}Dishwasher
~"an OR Blower Furnace
^Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
Circuits #
Fixtures #
Crarbage Disposal ~ryer ~ ater Heater
~1/C ^Electric Sign
^Other
ENE ~I f y z .~- ~o n ~Srf r,~ ci/'r,
VALUE (Including labor and all materials including ligb fixt es) $ ~ ~ ~J, 0 J
MASTER ELECTRICIAN
3/02