HomeMy WebLinkAbout0144638-Electric (add receptacles & misc.) CITY OF OSHKOSH No 144638
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1248 ELMWOOD AVE Owner WILLIAM A SMITH LIFE ESTATE Create Date 01/13/2011
Contractor ALL BRIGHT ELECTRICAL SERVICES IN Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR\ Add recepts. & other miscellaneous wiring
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: n&- Date 01/13/2011
❑ Permit Voided Parcel Id # 1204730000
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 8455 S OAKWOOD AVE NEENAH WI 54956 - 9550 Telephone Number (920) 428 -4433
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 M
4 ON THEWATE°
ELECTRICAL PERMIT APPLICATION JAN 13 2011
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
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE I
JOB ADDRESS I li 17/ n/ W ,/,
OWNER
CONTRACTOR A G` ,f x- T 2VA-- G T/f�ZG
CHECK IZI ALL APPLICABLE
USE CATEGORY
®Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead )0Not Applicable
❑Change lgNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK H ALL APPLICABLE
EIRange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE A W ,A fl S/ //- 5 �.
VALUE (Including labor and all materials including light fixtures) $ 2 '& . 0
MASTER ELECTRICIAN - ) 4 i /, c ;
3/02