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Home My WebLink About0145731-Electric (spa) CITY OF OSHKOSH No 145731 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2535 VILLAGE LN Owner MARY F CAFFERTY REV TRUST Create Date 05/04/2011 Contractor MY ELECTRIC CORP Category 623 - Residential - Duplex Addition /Remode Plan Inspector 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 / Wire spa. Work Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00 Issued By: Date 05/04/2011 Permit Voided Parcel Id # 1321230000 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 C q `/ Address 6012 KOELPIN RD OSHKOSH WI 54902 - 9117 Telephone Number (920) 231 -0707 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 Oshkosh, WI WI 54903-1130 Phone (920) 236 -5050 Fax (920) 236 -5084 OfI 1(011 1 ON THE WAT 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 permits) 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 ❑ DATE5 /4/2011 JOB ADDRESS2535 Village Lane OWNER Mary Cafferty CONTRACTORMY Electric Corp. CHECK El ALL APPLICABLE USE CATEGORY ( Single Family Duplex QMulti- Family ❑Rental ['Commercial ❑Industrial SERVICE [New ['Temporary TYPE ['Overhead ❑Not Applicable ❑Chan ['Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Circuits # Phase Amps Switches # Fixtures # CHECK El 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 Wire spa VALUE (Including labor and all materials including light fixtures) $500.00 MASTER ELECTRICIAN 3/02