HomeMy WebLinkAbout0132561-Electric (misc.)/~'~ CITY OF OSHKOSH No 132561
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 624 WAUGOO AVE Owner KEVIN DAWSON/JENNIFER NEUMEIER Create Date 08/28/2008
Contractor DREXLER ELECTRIC Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change Q Temp ~ N/A Type ~ Overhead Q Underground_
Volts Circuits 3 Luminaires 8
Amps Switches 2 Receptacles 8
Appliances
Use/Nature of
Work
SFR /INSTALL ADDITIONAL OUTLETS AND
Fees: Valuation $750.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ~~~^ Date 08/28/2008
Permit Voided
Parcelld # 0202440000
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 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
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O.lHK01H
ELECTRICAL PERMIT APPLICATION ON 7HE 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-I 128.- Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
- ---- -_• .. slat f e///
you want this processed through vour account
JOB ADDRESS ~~ ~ w ~
OWNER I'~~-+~e-~
CHECK H ALL APPLICABLE
USE CATEGORY
'Single Family ^Duplex ^Multi-Family
SERVICE ONew OTemporary
^Change Tot Applicable
~.- C
DATE $- ~S ~~
Rental ^Commercial ^Industrial
TYPE ^Overhead ~1VOt Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts (Lem / Receptacles #~_
Phase
Amps Switches # Z
CHECK 0 ALL APPLICABLE
^Range L]Dishwasher I~Garbage Disposal
Fan OR Blower OFurnace ^A/C
ors ^Gas Pumps C70ther
Circuits # 3
Fixtures #
^Dryer t]Water Heater
Electric Sign
DESCRIPTION OF ALL WORK BEING DONE ~n~5'r-r[}-C.~ -~~ Q~ ~.10~~~ ~~~~ ~5
VALUE (Including labor and all, materials including light fixtures) $ ~~~ ~J"-~
MASTER ELECTRICIAN ~ .l/
r~ 3/02
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