HomeMy WebLinkAbout0143502-Electric CITY OF OSHKOSH No 143502
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 190 ROLLING GREEN CIR Owner GREGORY J /DONNA J MUNSCH Create Date 10/05/2010
Contractor BAUER ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 2 Luminaires 10
Amps Switches 6 Receptacles 12
Appliances
Use /Nature of 'SFR / WIRE BASEMENT REMODEL * *check #50636
Work
Fees: Valuation ('� $ Plan Approval $0.00 Permit Fee Paid $77.00
Issued B Date 10/07/2010
[] Permit Voided Parcel Id # 0658260000
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 405 WAUPACA WI 54981 - 405 Telephone Number (715) 258 -2848
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.
Apr, 23, 2010 8:44AM CITY OF OSHKOSH INSPECTION No, 0714 P. 1
City of Oshkosh F i& X E Services D
P.O. Box 1130 MIND
O
( 4.11- I — F #1
shkosh, WI 54903 -1130
Phone (920) 236 -5050 ��HK��H
Fax (920) 236 -5084
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information attar 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
you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
i you wanf this p roc d r
esse hrouyorir accoutre ❑
DATE 104- 10
JOB ADDRESS 190 Ro11)n3 Green) Ciro \e •
OWNER G ye.3 m 1
t 4
C
r rs6 r:
ONTRACTOR BC c�- .E1e - c fir.► c. ° x
OCT 6 2010
CHECK 0 ALL APPLICABLE
USE CATEGORY t_ti t'�'`� �. ���
TOSingie Family ❑Duplex ❑Multi - Family ORental x O b`i - nr ` i e rcial tf ❑Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead CDNot Applicable
DChange Not Applicable DUnderground
FILL IN`TFIE APPROPRIATE BLANK WITH THE NUMBER
Prox
Volts / Receptacles # 1 `a Circuits #
Phase
Amps Switches # Pro); (2 Fixtures # 10
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwashe► OGarbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower LlFurnace DAJC ❑Electric Sign
DMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE \4tre 1.7 r eorn b r,M1 a u' '
aDOo o r e6
0
VALUE (Including labor and all materials including Tight fixtures) $ I
MASTER ELECTRICIAN D e g otO ,_70