HomeMy WebLinkAbout0146969-Electric 0 CITY OF OSHKOSH No 146969
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1000 BOWEN ST Owner STEVEN /PATRICIA FRANCOUR Create Date 06/13/2011
Contractor SECKAR ELECTRIC CO INC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Fan or Blower
Use /Nature of SFR / UPPER BATH REMODEL * *debit acct
Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: es Date 07/26/2011
El Permit Voided Parcel Id # 1108330000
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 01HK01H
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 Perm F e Account System and have adequate funds, check here
if you want this processed through your account ( +>
DATE 2 7, 2,0 J /
JOB ADDRESS MOD j )0,)- S
OWNER STEVE' eA i�CO(-) P-..,
CONTRACTOR StA`
CHECK B( ALL APPLICABLE
US CATEGORY
ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead Er& Applicable
❑Change ,Tot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK gi ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal DDryer DWater Heater
an OR Blower ❑Fumace DA/C DElectric Sign
DMotors ❑Gas Pumps ❑Ot th11 herr
DESCRIPTION OF ALL WORK BEING DONE t� H ge7h fEZ (0 F P .- )
VALUE (Including labor and all materials including light fixtures) $ ( • 0 C
MASTER ELECTRICIAN f2 „SR Li .
3/02