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HomeMy WebLinkAbout0133073-ElectricCITY OF OSHKOSH No 133073 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2350 BURNWOOD DR Owner JOHN R/SCOTT R SEIBOLD Create Date 09/10/2008 Contractor EAGLE ELECTRIC OSHKOSH LLC Category 612 -Residential-Single Family Addition/R Plan Service New ~ Change ~ Temp ~ N/A Type Q Overhead (~ Underground Volts 120/240 Circuits 5 Luminaires 14 Amps 200 Switches _7 Receptacles 20 Appliances Use/Nature of Work Finish basement` into a full bathroom, rec room and 2 seperate storage areas. the work. Fees: Valuation Issued By: Plan Approval $0.00 Permit Fee Paid $77.00 Permit Voided Date _09/24/2008 Parcel Id # 1323391600 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 t cure any necessary approvals before starting such activity. n n/ Signature ~e . .~ ~ . _ Date '7-'~ y d X Address 5421 NICKELS DR AgenUOwner OSHKOSH WI 54904 - 9530 Telephone Number (920) 582-0303 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. ofHKO1H 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor narticipating_in the Permit Fee Account Svstem and have adequate funds check here if you want this processed through your account ^ DATE CI ~d. y~D JOB ADDRESS 5~ ~UPN W©QU OWNER ~hr.. ~~ SLe~' ~ )1~ ~~I CONTRACTOR ~ H ~ (~ ~ ~ ~ ~-T~ ~ C.~ CHECK H ALL APPLICABLE USE CATEGORY ~k$ingle Family ^Duplex ^Multi-Family SERVICE ^New ^Temporary ^Change ^Not Applicable ^Rental ^Commercial ^Industrial TYPE ^Overhead E~IVOt Applicable ^Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts 12Q / ~ yD Receptacles # ~O Phase Amps ~ c'O Switches # 7 CHECK B ALL APPLICABLE ^Range ^Dishwasher ^Fan OR Blower ^Furnace ^Motors ^Gas Pumps Circuits #_ _.5 Fixtures # ^Dryer ^Water Heater ^Electric Sign DESCRIPTION OF ALL WORK BEING DONE ~~e dv~ c~c~ •e. ~ 4 ~~ +•~ ~ ~ 11 a~ ~o~ ~ ~ "~A 5 f_l~i ~ ,1. ~ u £ L. S oa VALUE (Including labor and all materials including light fixtures) $ (~ ~ O MASTER ELECTRICIAN ~ IZ C ~tJ ~ OTbC-~ ^Garbage Disposal ^A/C ^Other a/oz