HomeMy WebLinkAbout0144222-Electric l CITY OF OSHKOSH No 144222
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1399 W SOUTH PARK AVE Owner LESLIE C /FAITH I DRAVES Create Date 11/30/2010
Contractor ECHO ELECTRIC LLC Category 633 - Residential - Multi - Family Addition /Re Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of CONDO / SUNROOM ADDITION
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: t2CaS Date 11/30/2010
❑ Permit Voided Parcel Id # 1307310211
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 an / /1 cessary approvals before starting such activity. �/
Signature Date Z oo
' � Agent/Owner
Address N1308 WESTGREEN DR GREENVILLE WI 54942 - 9650 Telephone Number (920) 470 -8763
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 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 ❑
2 �,, / /� / DATE // 0
JOB ADDRESS /39 f h • J04i�4�Jc
OWNER -j& Praiij
CONTRACTOR L ') Ez 7i
CHECK ® ALL APPLICABLE
UE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New Egemporary TYPE ❑Overhead I / of Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK !3 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
I/jti / 1 Sig/ b✓1 9i%?o,J and 7 / Jq5 Po (
VALUE (Including labor and all materials including light fixtures) $ 90�
MASTER ELECTRICIAN Iii K M &o Z LL
3/02