HomeMy WebLinkAbout0134270-ElectricCITY OF OSHKOSH No 134270
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1624 SPRUCE ST Owner STEVEN M/REBECCA J PINK Create Date 0
5/29/2008
_ .
Contractor TOWN & COUNTRY ELECTRIC _ _ Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change (~ Temp ~ N/A Type ~ Ovefiead ~ Undergrounds
Volts Circuits 2 Luminaires 1
Amps ___ Switches __ 4 Receptacles 6
Appliances
Use/Nature of ~SFR / 12 X
Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $46.00
Date 12/04/2008
Permit Voided
Parcelld # 1206540000
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 PO BOX 627
Agent/Owner
APPLETON WI 54912 - 627 Telephone Number (920) 225-6507
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.
01HKO.lH
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 narticiDatine in the Permit Fee Account System and have adequate funds check here
tf you want rhas processed through your account ^
DATE ~°Z/o2! ~ g
JOB ADDRESS ~~ a1 ~ S~G'LfCe s~.
OWNER ~~ tl ~ ~t r-~l
CONTRACTOR_ ~C{l -~'~I ~GLll2D ~OC~; ~ S
~ b a 7vw vl ~ ~ y
l ~ ~u~ ~'1~~~
CHECK H ALL APPLICABLE
U E CATEGORY
Ingle Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ^Not Applicable
^Rental ^Commercial Olndustrial
TYPE ^Overhead ^Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,
Phase
Amps
CHECK B ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
Receptacles #FJ ~ (P
Switches # ~_
^Garbage Disposal
^A/C
^Other
Circuits #~_
Fixtures #
^Dryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE ~ill-'~ ~~-tC ~`~ G~i`h%~~ I~ooW!
VALUE (Including labor and all materials including light fixtures) $ 15D ~D ~ ~e ,` '~ ~~0 ~d d
MASTER ELECTRICIAN (yl ~ j r