HomeMy WebLinkAbout0131990-Electrici~ CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
Appliances
Use/Nature ~
Work
Fees: Valve
Issued By:
No 131990
624 WAUGOO AVE Owner KEVIN DAWSON/JENNIFER NEUMEIER Create Date 08/04/2008
DREXLER ELECTRIC I
Category
612 -Residential-Single Family Addition/R
Plan
New ~ Change ~ Temp f] N/A Type 0 Overhead ~ Underground ~,
120 Circuits 2
i
20 Switches 4
Luminaires
Receptacles
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 490 COUNTY ROAD FF PICKETT ~ WI 54964 - 9513 Telephone Number (920) 589-6700
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
~ ~ t~ :.~
P.O. Box 1130 ~w; ~ ,
~~~ _ .
Oshkosh, WI 54903-1130 ~ AUG 01 •,,
Phone (920) 236-5050 ~ 2~~8
Fax (920) 236-5084 ~ C:~~,~~i3~~ICP,e r,~-
C/~ p /~ , ~o~,~~~~~'}d~E~~FF_"~ ~~~~'~~..~~~iijT~ o1HKO1H
ELECTRICAL ~~~E[Tj~~M~r ~I~~t1 IV~ ON THE WATER
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
~~...<< ree account ~' stem and have ade uate unds ch
i you want this processed through your account
3~-0
// '. // !, DATE ~- O
JOB ADD S r~ ~ ~ W ~V ~T/Z~?Q~
OWNER ~ R~~ r~JL t~J ![r
CHECK 0 ALL APPLICABLE
USE CATEGORY
'Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ~3Not Applicable
Rental ^Commercial ^Industrial
TYPE ^Overhead ~fNot Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE' NUMBER
Volts l /
Phase ~
Amps 7 0
CHECK 0 ALL APPLICABLE
^Range ^Dishwasher
OFan OR Blower ^Furnace
^Motors ^Gas Pumps
i
Receptacles # I ~o
Switches #
[ON OF ALL WORK BEING
--f-=r/.~7`~- ~C. l~ Wit.
i
^Garbage Disposal
^A/C
^ Other
i
)NE /~~FT~f
' ~
Circuits #
Fixtures # ~
^DrYer ^Water Heater
^Electric Sign
o,y
VALUE (Including labor and all, materi
MASTER ELECTRICIAN
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3/02
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