HomeMy WebLinkAbout0157313-Electric (hook up only) /�''� CITY OF OSHKOSH No 157313
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3747 GLENKIRK LN Owner WINNEBAGO VACANT Create Date 08/20/2013
Contractor M.R.TEAS INC __ Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
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Service New � Change � Temp � N/A I Type 0 Overhead � Underground
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Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances �r-- --- --- - ---- -
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UselNature of iMOBILE HOME/HOOK UP ONLY
Work i
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Fees: Valu ion $400.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By:�� - -- - _ Date 08/20/2013 ,
❑ Permit Voided Parcel Id# 1278400000
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 enf ce easement restrictions of which it is not a party, if you perform the work
described in this permit appl' ' n wit in n ea me t,the ity strongly urges the permit applicant to contact the easement
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holder(s)and to securerany ne s ppro Is e rting suc ctivity.
Signature Date '�� -/
e ner
Address 7065 WOODENSHOE RD NEENAH WI 54956 -9747 Telephone Number (920)720-2288
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.
Ciry of Oslikosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,Wl 54903-1130
Phone(920)236-5050
Fax (920)236-5084 ���--�K�S�---�
ON THF WATFR -
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 vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here �
if vou wa»t this��•ocessed throu�vour account ❑
DATE �'�'l�j ;
JOB ADDRESS � 7�� 7 G I� �cy'/�-
OWNER �a S �_('/�'l S [viJ !/Yl E-�-✓� #' 6
CONTRACTOR , 12, j �19–'S L Y1��
CHECK 0 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE�1ew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts�w / Z`�d Receptacles# Circuits#
Phase /
Amps ��� 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 ����'�C
DESCRIPTION OF ALL WORK BEING DONE d � WI L��
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VALUE(Including labor and all materials including light fixtures) $ �(�!�
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MASTER ELECTRICIAN�..P�rJ�{�} � ►1-v�wl
3/02