HomeMy WebLinkAbout0144961-Electric 0 CITY OF OSHKOSH No 144961
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 810 MCKINLEY ST Owner JEFFREY A WOLSKI Create Date 02/22/2011
Contractor SECKAR ELECTRIC CO INC Category 634 - Residential - Service Change Plan
Service 0 New • Change O Temp O N/A Type • Overhead ❑ Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / Fire Damage / Repairs only to service and damaged wire. * *debit acct -
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: 6,-27, ,a Date 02/22/2011
❑ Permit Voided Parcel Id # 0504970000
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 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 9728 Telephone Number (920) 582 -4909
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.
L 1 A f 1
City of Oshkosh
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
4Di
Phone (920) 236-5050
Fax (920) 236-5084
ON THE WA R
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 Perrot F e Account System and have adequate funds, check here
if you want this processed through your account
DATE Z Z , ?-6 I
JOB ADDRESS 3)o c y_ IM I e S-
OWNER JQ (/0 0 J
CONTRACTOR S ( % C C PC I (—
CHECK 0 ALL APPLICABLE
CATEGORY
Atklingle Family ❑Duplex ❑Multi Family [Mental ❑Commercial ❑Industrial
SERVICE • ► w ❑Temporary TYPE t5 erhead ❑Not Applicable
Change DNot Applicable nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I / z-9 D Receptacles # Circuits #
Phase /
Amps / o Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 4 L PA . S TD
; c DAMAGCb i )) R- U -ri F,
VALUE (Including labor and all materials including light fixtures) $ /00 0 , 00
/1_1,) c
MASTER ELECTRICIAN 1 (! t " Se C
3/02