HomeMy WebLinkAbout0122497-Electric Ie CITY OF OSHKOSH No 122497
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 3060 WILDERNESS PL Owner THOMAS D /LESLIE L FUQUA JR Create Date 10/24/2006
Contractor JK ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service 0 New O Change O Temp N/A Type 0 Overhead 0 Underground
Volts Circuits 3 Luminaires
Amps Switches 10 Receptacles 20
Appliances
Use /Nature of SFR/ Remodeling the basement to include a game room and media room. *A minimum of 7' ceiling height will be provided.
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: a Date 11/10/2006
D Permit Voided Parcel Id 0660070000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 ny n ssary ppr val before starting such activity.
Signature t Date
Agent/Owner
Address E91 MANSKE RD NEW LONDON WI 54961 0 Telephone Number 920 982 -7848
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 OJHKOJH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
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 permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractorparticipatinz in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account
DATE
JOB ADDRESS 36 ‘o
OWNER
CONTRACTOR \L E/ec 1
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change l Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles Circuits 3
Phase
Amps Switches /4 Fixtures
C kLI CK H ALL APPLICABLE
CIRange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
DMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE f e,,,.,,pLo/ 64 541.L
VALUE (Including labor and all materi 4 incl ding lig fix es) 5 h
MASTER ELECTRICIAN
3/02