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HomeMy WebLinkAbout0145127-Electric 11 CITY OF OSHKOSH No 145127 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 127 W 14TH AVE Owner WINNEBAGO COUNTY HOUSING AUTHOF Create Date 03/11/2011 Contractor METZLER ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan Service p New 0 Change 0 Temp • N/A Type • Overhead 0 Underground Volts 120 / 240 Circuits 6 Luminaires 12 Amps 100 Switches Receptacles 15 Appliances Fan or Blower, Dishwasher, Furnace, Garbage Disposal, Dryer Use /Nature of SFR / REMODEL KITCHEN & UPSTAIRS BATHROOM, ADD OUTLETS IN HOME, FIX CODE VIOLATIONS IN HOME & GARAGE, Work INSTALL NEW LIGHT FIXTURES *"check #1788 Fees: Valuation $3,612.00 Plan Approval $0.00 Permit Fee Paid $111.00 Issued By: S' Date 03/11/2011 ❑ Permit Voided I Parcel Id # 0304360000 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 1658 CASS ST GREEN BAY WI 54302 - 2724 Telephone Number (920) 406 -7515 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 OJHK DJH 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ❑ DATE 3 lO — (( JOB ADDRESS 1 r?--1 OWNER CONTRACTOR ,/ Ff2. L Er( � ) iC-- /At— CHECK ® ALL APPLICABLE USE CATEGORY 1XiSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial * ❑Industrial SERVICE DNew ❑Temporary TYPE piOverhead ONot Applicable ❑Change pallot Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts /DO / ,$J(© Receptacles # /5 Circuits # 6 Phase Amps ,i OC Switches # Fi g-- xtures # CHECK B( ALL APPLICABLE ORange PDishwasher a� Disposal ®Dryer ❑Water Heater jglFan OR Blower lXIFurnace ❑Electric Sign ❑Motors ❑Gas Pumps DOther DESCRIPTION OF ALL WORK BEING DONE • [, r '� r � — . - � �' � .�.� � • • �` i - !' — .. •�. I 4 • At.: VALUE (Including labor and all materials including light fixtures) $ � j la • pp MASTER ELECTRICIAN ° v 3/02