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0134146-Electric (misc.)
CITY OF OSHKOSH No 134146 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1755 W 7TH AVE Owner RICHARDlCORINNE M MEYER Create Date 11/20/2008 Contractor TOWN & COUNTRY ELECTRIC Category 643 -Commercial-Addition/Remodels Plan Service -- __ New ~ Change Q Temp _ --- ~ N/A Type !~ Overhead ~ Underground _ __ _ Volts 120 / 240 Circuits 3 Luminaires 3 Amps _ 200 Switches 2 Receptacles 3 Appliances Electric Sign i I Use/Nature of OMM (vintage Coin & Jewelry) /INSTALL 1 SUB PANEL, 3 TRACK LIGHTS, 3 OUTLETS, HOOK-UP SIGN, REPAIR WALL PACK, Work ND INSTALL 3 NEW SOFFIT LIGHTS "'debt acct i i Fees: Valuation _((_'' $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued BY: ~V~~,}" Date 11/21/2008 Permit Voided Parcel Id # 0611590000 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 PO BOX 627 AgenUOwner APPLETON WI 54912 - 627 Telephone Number (920) 225-6507 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. ~ 3 ~~a~a City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~r,- ~~1 V f+ ~i ~v~ ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. 01HKOlH 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor articipating in the Permit Fee Account System and have adequate funds, check here if you want This processed through your account ^ DATE 1 ~ ~ ~ © 8 JOB ADDRESS I ~ 3S LtJ 7 ~~' ~ve OWNER ~; ~ 1.. ~.~~ ~- CONTRACTOR ~~ W r d ~. K~ CHECK H ALL APPLICABLE USE CATEGORY ^Single Family ^Duplex ^Multi-Family SERVICE ^New ^Temporary ^Change Not Applicable ^Rental commercial ^Industrial TYPE ^Overhead ,$~Not Applicable ^Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts ~ a ~ l a `l o Receptacles # ~ .3 Phase ~ Amps a-oo Switches # CHECK H ALL APPLICABLE ^Range ^Dishwasher ^Garbage Disposal ^Fan OR Blower ^Furnace ^A/C ^Motors ^Gas Pumps ^Other DESCRIPTION OF ALL WORK BEING DONE ~.. s fu. U Circuits # Fixtures # ^Dryer ^Water Heater electric Sign ~s ~ L~.r~ VALUE (Including labor and all materials including light fiztures) $ v2, ~O ~ ~ t"' F>' [ ~ tP ~0 . Q MASTER ELECTRICIAN I ~~%~i~G(' /~ ~ e, ~~~~~1t-~ ~t~