HomeMy WebLinkAbout0134133-Electric (garage)l~ CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2102 JEFFERSON ST Owner MICHAEL S/JENNIFER A RETELLE
Contractor ADVANCED ELECTRIC LLC Category 612 -Residential-Single Family Addition/R
--
Service New (~ Change ~ Temp ~ N/A J Type ~ Overhead
Volts Circuits
Amps Switches
Appliances
Use/Nature of
Work
No 134133
Create Date 11/11/2008
Plan
Underground
Luminaires
Receptacles
SFR/
Fees: Valuation $601.00 Plan Approval _ _ $0.00 Permit Fee Paid $39.00
- _ __
Issued By: ~ Date 11/21/2008
^ Permit Voided
Parcel Id # 1515900000
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 N3672 RED OAK DR
Agent/Owner
CAMPBELLSP(WI 53010 - 1883
Telephone Number (920) 921-2499
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.
C~ HKC~fH
~ 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 participating {n the Permit Fee Account System and have adequate funds check here
f you want this processed through dour account ^
DATE Il ~~'~
JOB ADDRESS ~'l O 2 ~'~ ,~,r t,~y ~ -~
OWNER 1~1`~ti a~ f ~' lTt`-+w.`"~i ~ ~ ~ / ~,q--~-
CONTRACTOR /'T~/ V Etti ~_ ~ ~ ~~,ec ~ , ~~_
CHECK ®ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change L~1Vot Applicable
^Rental ^Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #.
Phase
Amps Switches #
CHECK ®ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRII'TION OF ALL WORK BEING
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
r
Af
VALUE (Including Tabor and all materials including light fixtures) $ 1(~(J(,~ . ~®
MASTER ELECTRICIAN ~_~aa r.//!/riJ~-~
^Garbage Disposal
OA/C
^Other
NOV 1 4 2008
3/02