HomeMy WebLinkAbout0143429-Electric 0 CITY OF OSHKOSH No 143429
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1155 ALGOMA BLVD Owner JEANNE W TONDRYK Create Date 08/06/2010
Contractor FAITH TECHNOLOGIES, INC. Category 612 - Residential - Single Family Addition /R Plan
Service Q New Q Change 0 Temp • N/A Type Overhead Q Underground
Volts 120 / 240 Circuits 0 Luminaires 4
Amps 100 Switches 5 Receptacles 7
Appliances
Use /Nature of SFR / City rehab / Install GFCI protection where needed, various interior light fixtures, exterior light for front entrance, bath vent, 3 -way
Work witch for stairway, and corrrect violations. * *check #909690
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: tYnk Date 10/04/2010
El Permit Voided I Parcel Id # 0507180000
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 PO BOX 260 _ MENASHA WI 54952 - 260 Telephone Number (920) 751 -9807
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.
F
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 OT {OTA
.
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
1 f. rr' . ire .r..: kb i • �� p r.n u • , av ade•uate u,•s he khere
if you want this processed through your account ❑
DATE /%i 6
JOB ADDRESS 1 is s 4( a 0-14. /
OWNER ilt LA" 13 4 Tea r\ � v�n Jr, L
CONTRACTOR /5
CHECK 0 ALL APPLICABLE
USE CATEGORY
'Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE (21bverhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts f 2-v / . k d Receptacles # 7 Circuits #
Phase / Il
Amps f Dv Switches # S Fixtures #
CHECK 0 ALL APPLICABLE
Mange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 34.,{4c as 144 Fa r, f .4W 2'4 to
Li lets LT - cc f tY'_ /o >, L
X�t-vt /ce 7 Q r J,' u e r
VALUE (Including labor and all materials including light fixtures) / $ �i
uvo lee ; badO
MASTER ELECTRICIAN /& &/ .`J--, re G6!4-G4 j lity
3/02