HomeMy WebLinkAbout0134242-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 845 KEENVILLE LN Owner RUSSELL E/MARGARET M LOSSE
Contractor DENNIS P BRENNAN Category 612 -Residential-Single Family Addition/R
Service New Q Change Q Temp ~ N/A ~ Type Q Overhead
Volts 120/240 Circuits 2
Amps 100 Switches
Appliances
Use/Nature of
Work
No 134242
_ Create Date 12103/2008_
Plan
Q Underground
Luminaires 7
Receptacles 5
FR /Kitchen remodel. Add and move receptacles and lights.
--- -J
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $53.00
^ Permit Voided
Date 12/03/2008
Parcelld # 1519620500
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 nece ary approvals before starting such activity.
Signature ~~~ ~f~ Date
Address 1423 RAINBOW DR
Agent/Owner
OSHKOSH WI 54902 - 2648
Telephone Number (920) 232-7237
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.
~~
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 narticinatinQ in the Permit Fee Account System and have adequate funds check here
if you want this processed through your account ^ 1
DATE ~ ~~ 3 ~' ,tom
JOB ADDRESS ~ ~ `~ K.?= t ~ i1 + Li, is
OWNER L ~ a !' i
CONTRACTOR ;. Nr.-~) JS i~ t~ N s.,~'~~ >/
CHECK B ALL APPLICABLE
USE CATEGORY
G~'Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ^Not Applicable
^Change IJNot Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ) 2-~' / ~ y t' Receptacles # S Circuits # ~
Phase f
Amps I C' Switches # Fixtures # ~
CHECK Ef ALL APPLICABLE
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower ^Furnace ^A/C ^Electric Sign
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE_ V~ ~ ~. ~-~ ~ u f ~ ~ ~~ ~ ~' ~ j~ 3~ `t Yy d y k
~ L ~Z c~ TRc L }~) ~ k c )t r S 1~ ~- ~ 7 ~2 3 ~ P r? ,.-d /} n- i L~ T K S
o~
VALUE (Including labor and all materials including light fixtures) $ `r D ~ ~ '-
MASTER ELECTRICIAN /~ i .~. ~ ~^--L-
3/02