HomeMy WebLinkAbout0132750-ElectricCITY OF OSHKOSH No 132750
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 614 W IRVING AVE Owner JACOB J NERENHAUSEN Create Date 08/27/2008
Contractor DREXLER ELECTRIC Category 623 -Residential-Duplex Addition/Remode Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ~ Underground J
Volts Circuits 1 Luminaires
Amps Switches Receptacles 4
Appliances
UselNature of Duplex /Kitchen
Work
counter.
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $32.00
^ Permit Voided
Date 09/09/2008
Parcelld # 0500570000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Whife 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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ofHKOfH
ON THE WATER
~ 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 through vou~ account
JOB ADDRESS
OWNER c~ (,U
f ~e,Q.2N n, x.15
~~
CONTRACTOR ii x.~~ ~ ~~t'~'L ~G L L G
CHECK 0 ALL APPLICABLE
USE CATEGORY
^Single Family ,Duplex Multi-Family
SERVICE ONew ^Temporary
^Change ~ot Applicable
DATE ' ~ O
,l~Rental ^Commercial ^Industrial
TYPE ^Overhead Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /ZO / Receptacles #
Phase 2-
Amps Zv Switches #
CHECK 0 ALL APPLICABLE
^Range dishwasher OGarbage Disposal
^Fan OR Blower ^Furnace !]A/C
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE
/~.` /hh ~~J~ /~` ~ ~~
/INU ETC wli iL ~M c~
Circuits #
Fixtures #
Dryer Water Heater
^Electric Sign
~ ~ ~ 1.~ ~ ~Ctw~s~~
VALUE (Including labor and all, materials incl ding light fixtures) $ 'O ~ ~ ~
MASTER ELECTRICIAN
3/02
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