HomeMy WebLinkAbout0134225-Electric (code corrections)CITY OF OSHKOSH No 134225
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3935 SUMMERVIEW DR Owner JEFFREY UMOLLY M BUTZ Create Date 12/02/2008
Contractor HULLAR ELECTRIC LLC Category 612 -Residential-Single Fatuity Addition/R Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead _ Q Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
UselNature of
Work
correction notice.
Fees: Valuation
Issued By: ~
Plan Approval $0.00 Permit Fee Paid $25.00
Permit Voided
Date 12/02/2008
Parcel Id # 1528520000
In the performance of this work 1 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 secur e ry ap fore starting such activity.
Signature „~,~,~ ~z Date z 2 cJ~
Address 4932 W 9TH STREET RD
Agent/Owner
OSHKOSH WI 54904 - 6530 Telephone Number (920) 379-8148
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.
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 participating in the,Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ^
DATE l 2 ~i ~ a~
JOB ADDRESS 3~ 3 S .S k ~ n c r yT~"~
OWNER J~~l~!! ~3K ~z
CONTRACTOR ~i~ ~~ h~~<<~~,c
CHECK B ALL APPLICABLE
USFJ.. CATEGORY
Volts /
Phase
Amps
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
CHECK Ef ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
Circuits #
Fixtures #
^Garbage Disposal ^Dryer ^Water Heater
^A/C ^Electric Sign
^ Other
DESCRIPTION OF ALL WORK BEINGDONE (1~o%„c. ~wt~-`. ~ x1L ~.~-z~"~
i i. o
Receptacles #
Switches #
VALUE (Including labor and all materials including light fixtures) $ ~ a? cd
MASTER ELECTRICIAN
3/02