HomeMy WebLinkAbout2008-Electric (a/c)OSHKOSH
ON THE WATER
Job Address 807 OREGON ST
Contractor
Service
Volts
Amps
Appliances
Use/Nature of
Work
Fees:
Issued By:
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner ROBERT J MAZZA
No 134238
Create Date 11 /21 /2008
REMEDY ELECTRIC Category 643 -Commercial-Addition/Remodels Plan
New ~ Change 0 Temp ~ N/A Type 0 Overhead ~ Underground 'I
Circuits Luminaires
Switches
Receptacles
Plan Approval $0.00 Permit Fee Paid $53.00
Permit Voided
Date 12/02/2008
Parcelld # 0900510000
In the pertormance 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 3563
Agent/Owner
OSHKOSH WI 54903 - 3563
Telephone Number (920) 379-9331
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.
Z
O HKOlH
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
I~you are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here
if you want this Drocessed through your account ^
DATE ~ Z 2 ~ ~'
JOB ADDRESS 86 ~ C' a ~ Gb N
OWNER- [~tj $Q,~~`~'p W ~
CONTRACTOR ~ ~~ ~~ ~ ~L-EL ~ ~ C l-L~
CHECK B ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Te~orary
^Change .~~lot Applicable
^Rental ~t~;ommercial ^Industrial
TYPE ^Overhead ~ONo pplicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /
Phase
Amps
CHECK Ef ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
~.c -r-~ o tiJ 3
/~ o ~?-------.....
VALUE (Including labor and all materials including light fixtures) $ `"7 ~ d
.- _
MASTER ELECTRICIAN _._.___._.~,.___.......~__,w..___....__,.._..
Receptacles #
Switches #
^Garbage Disposal
^A/C
^ Other
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
3/02