HomeMy WebLinkAbout0122326-Electric (electric heaters) 0 CITY OF OSHKOSH No 122326
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 309 WAUGOO AVE Owner MATTHEW P /JANE P MIKKELSON Create Date 10/30/2006
Contractor LEWINS ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Electric heaters
Use /Nature of DUP\ Install electric heaters to upper unit.
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: 4 Date 10/30/2006
❑ Permit Voided Parcel Id # 0200350000
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 1111 S MADISON ST APPLETON WI 54915 - 0 Telephone Number 920 -540 -2561
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 14)
Oshkosh, WI 54903 -1130
Phone(920) 236 -5050 O�O��I
Fax (920) 236 -5084
• 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 Darticipatinf in the Permit Fee Account System and have adea funds. check here
if you want this processed through your account ❑
• WA u ?b DATE /(V‘ 0
•
JOB ADDRESS 3 (7 '7 ff uz_4 6 w
OWNER /t4 )` / / /c/ 6• Sid
CONTRACTOR C.__ 6 (4 f 6 6- Cr C
CHECK H ALL APPLICABLE
•
USE CATEGORY
❑Single Family ❑Multi - Family °Rental ❑Commercial ❑Industrial
•
SERVICE ❑New ❑T TYPE ❑Overhead Ei o Applicable
❑Change of Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
• Volts / Receptacles # Circuits # '
Phase
Amps Switches # Fixtures #
. CHECK H ALL APPLICABLE
°Range • ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower. ❑Furnace ❑A/C ❑Electric Sign
°Motors ❑Gas Pumps er g C C / /rC Ar' =z `7 -
DESCRIPTION OF ALL WORK BEING DONE
•
VALUE (Including labor and all materials incl ing light fixtures) $ cR
MASTER ELECTRICIAN C� 0, -t,2-
- . 3/02