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HomeMy WebLinkAbout0122535-Electric CITY OF OSHKOSH No 122535 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2743 MINERVA ST Owner SCOTT G /ERICA L RAUCH Create Date 11/14/2006 Contractor VAN ERT ELECTRIC CO 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 Luminaires Amps Switches Receptacles Appliances Use /Nature of SFR / RE -WIRE 2ND FLOOR THAT WAS DAMAGED BY FIRE * *debt acct Work Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued By: Date 11/14/2006 El Permit Voided Parcel Id # 1230160000 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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number 920 - 766 -3888 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. 11/13/06 16:16 FAX 920 766 0883 VAN ERT ELECTRIC Z001 City of Oshkosh . Division of Inspection Services NOV 14 200 P.O. Box 1130 Oshkosh, WI 54903 - 1130 O y r w Phone (920) 236 -5050 . Fax (920) 236 -5084 Of HKc ,JH DN 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 ' - normal permit fee, which ever is greater. OR • • If you are a contr r r tici ati in the Fermi ee - ccount' S st -m and have ade, uate and check h. i u wan this r es sed throe h o ur accou 't Ih - 'I i DATE 1 113 OD 3OB ADDRESS a 743 her v- g OWNER Sail Ra ell CONTRAC'T'OR !. _ L - o CHECK Ef ALL APPLICABLE CATEGORY Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commerc' ial C1lndustnal SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Change of Applicable N ot Applicable � OUndetgcound r� FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts 1 Receptacles # . Circuits # Phase • Amps - Switches # Fixtures # CHECK El ALL APPLICABLE . • DRange ❑Dishwasher o�Cbage Disposal ❑Dryer ©Water Heater OF= OR Blower ❑Furnace ❑Electric Sign OMotors ❑•Gas Pumps ❑Other • DESCRIPTION OF ALL WORK BEING DONE ' 1 . '' lei. i . WC /' _!/ . 0 • • VALUE (Including labor and all materials including light fixtures) $ � I( ) MASTER ELECTRICIAN • • YES Aav—e,N . p.ky- C,I,R lit____JA..i._ . - 3/