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HomeMy WebLinkAbout0134212-ElectricCITY OF OSHKOSH No 134212 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 965 NICOLET AVE Owner KIRK A/ANNE M HAVERLAND LIVING TRU; Create Date 12/01/2008 Contractor HOEHNE ELECTRIC Category 612 -Residential-Single Family Addition/R Plan Service New ~ Change ~ Temp ~ N/A Type Q Overhead (~ Underground ~ Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of Work ~ bathroom remodel. '"debit acct Fees: Valuation "~ $900.00 Plan Approval $0.00 Permit Fee Paid __ $53.00 Issued By: C~C~'yl,~ _ Date 12/01/2008 ^ Permit Voided Parcelld # 1523900000 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 N1798 JUNCTION LN AgenUOwner BERLIN WI 54923 - 8923 Telephone Number (920) 379-8200 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. v 30 08 07:13p CURTIS HOEHNE 18006037242 p.1 Cit of Oshkosh ~~QS-~ ~~~ `2m `~' ~(~U~ Y Division otlnspcction Services ,Q~~ G~yt P.O. Box ] 130 °" `~' Oshkosh, WI 54903-1130 ~// ,fin Phone (920} 236 5050 ~` ~s :.~~h~.Q~ ~~ ((Jes ~~ - Fax (920}236-SOS4 fff ~~5~ ^Range Fan Ol<t Blower ^Motors • Application(s) and fee(s) can be brought to City F-~all. Room 20~ or mailed to inspection Services, PO Box i 128. Oshkosh WI 54903-1128. Commencing work without permit(s) vz)1 result in fees being doubled or ~ 100.00 plus the norrna3 perrrtit fee, which ever is greater. OR ij you want this processed throue~h your a~cnru:r JOB ADDRESS a ' CO ,~ CHECK H ALL APPLICABLE U E CATEGORY Ingle Fatuity C~Duplex ^Multi-Family !!!SERVICE ^Nex~ OTemporary _ ^Change ^Not Applicable rr n DATE - ~~ 6 ^Rental ^Commercial ^lndustrial 'T'YPE ^Overhead ^Not Applicable ^Underground FII.L ITT THE APPROPRIATE BLANK ti'~'ITH THE NU1~i1BER Volts / ReceptacFes Phase Amps Swathes CI~ECK 0 ALL APPLICABLE (.~rr~:~C~ ~4~f~e- ~A-y star t ~~ 5'~~ ~ ~ Td /~4 US~ ~ ,~~ .~f ~:~.~ '~iF ~vAiFl: rill information after bold categories rnust be provided. Incornpletc applications «~ill not be processed. ^Dishtivasher ^Furnace ^Gas Pumps DESCRIPTION OF ALL ^Garbage Disposal ^A!C Circuits F'ix-tures ^Dryer ^Water Heater ^Electric Sigrt VALUE (Includinh labor and MASTER ELE including light ~xtures}t~ ~©Q, i,~ J