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HomeMy WebLinkAbout0140197-Electric (remodel) 0 CITY OF OSHKOSH No 140197 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 114 W CUSTER AVE Owner WINNEBAGO COUNTY HOUSING AUTHOF Create Date 03/24/2010 Contractor METZLER ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan Service 10 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts 120 / 240 Circuits 0 Luminaires 5 Amps 100 Switches 4 Receptacles 3 Appliances Exhaust Fans Use /Nature of SFR / REMODEL & FIX KNOB -N- TUBE WIRING THAT IS EXPOSED * *check #1032 Work Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $128.00 Issued By: Date 03/25/2010 ❑ Permit Voided Parcel Id # 1500980000 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 Agent/Owner Address 1658 CASS ST GREEN BAY WI 54302 - 2724 Telephone Number (920) 406 -7515 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. Mar. 23. 2010 1 :48PM CITY OF OSHKOSH INSPECTION No. 0287 P. 1 City RECEIVED of Oshkosh _ • Division of Inspection Services P,O. Box 1130 MAR 2 5 2010 Oshkosh, W154903 -1130 Phone (924) 236 -5050 DEPARTMENT OF Fax (920) 236 -5084 COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION ON HE WA R 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 permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here If you want this processed through your account 0 DATE 3 /,,T3 /jO JOB ADDRESS C..., 4- -. .,, t OWNER W4'14r1 cA %© CaT-rrt 7 k 1 ),t c /tom r/�1 CONTRACTOR ►�.. CHECK 6d ALL APPLICABLE USE CATEGORY Pit ingle Family DDuplex DMulti- Family DRental DCommercial Dlndustrial SERVICE DNcw DTemporary TYPE DOverhead ,tNot Applicable ❑Change Ig1Not Applicable DUnderground FILL Lit TIIE APPROPRIATE BLANK WITH THE NUMBER Volts ,,` fin /,.g yQ Receptacles # 3 Circuits # /9 Phase Amps j4O Switches # % Fixtures #_,_$— CHECK PI ALL APPLICABLE !Mange DDishwasher DOarbage Disposal [Dryer DWater Heater [Pen OR Blower [Furnace DA/C [Electric Sign COMotors [Gas Pumps ,Other 4diffud rto DESCRIPTION OF ALL WORK BEING DOn ac / /grab , A '..- Jr, - VALUE (Including tabor and all mate s Inclutlin II ht fixtures) ; .0 � kl i �', 0 0 1, / MASTER ELECTRICIAN Kt � 3/02