HomeMy WebLinkAbout0133884-ElectricCITY OF OSHKOSH No 133884
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1519 ELMWOOD AVE Owner FEDERAL NATIONAL MORTGAGE ASSOC Create Date 11/07/2008
Contractor HULLAR ELECTRIC LLC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change Q Temp ~ N/A Type ~ Overhead Q Underground ~
Volts Circuits 5 Luminaires 5
'~~ Switches 10 Receptacles 20
Appliances
Use/Nature of
Work
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By:
^ Permit Voided
Date 11/07/2008
Parcelld # 1200950000
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 applipnt to contact the easement
holder(s) and to secure a ssary ap r val~ starting such activity.
Signature
Date / ~ - 7 , ..9
Address 4932 W 9TH STREET RD
Agent/Owner
OSHKOSH Wf 54904 - 6530
Telephone Number (920) 379-8148
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 01HK0f H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
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
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if you want this processed through Your account ^
` DATE / ~~ 7 -U~_
JOB ADDRESS ~ S ~ 9 ~' /.,~ ,~ oe ~
OWNER
CONTRACTOR_ ~,,,. ~~4f ,~~ ~r,'c
CHECK B ALL APPLICABLE
USE~ATEGORY
mgle Family Duplex ^Multi-Family
SERVICE New ^Temporary
^Change ONot Applicable
^Rental ^Commercial ^Industrial
TYPE ^Overhead Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
CHECK B ALL APPLICABLE
^Range C1Dishwasher
^Fan OR Blower !]Furnace
^Motors ^Gas Pumps
Receptacles # ,.Z !~
Switches # ! p
^Garbage Disposal
Cd'A/C
Other
Circuits # S
Fixtures #
0~"Y~ ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE IZrn o d` ~ G, ~ ~ ~ ~~~ o~ f - f ~
o, G
VALUE (Including labor and all materials includi g light fixtur ) $ ~ Q~, O.7
MASTER ELECTRICIAN
3/02