HomeMy WebLinkAbout0104319-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2421 DOTY ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GENE & MARY FELIX
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104319
Create Date 04/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Finish rough-in and finish work for remodel. *Job #37858.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval
$0.00 Permit Fee Paid $60.00
Date 09/22/2003
Permit Voided
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
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
SEP 2 2 200
DEPART IENT OF
DEVELOPMENT
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
* 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 lg'eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i£,?ou want this processed through your account []
CHECK [] ALL APPLICABLE
U~S~ CATEGORY
[3~Ingl¢ Family [3Duplex F1Multi-Family
SERVICE DNew F1Tcmporary
FIChange FINot Applicable
[3Rental [2Commercial [3Industrial
TYPE nOverhead nNot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts . / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range I2]Dishwasher F1Garbage Disposal []Dryer
F'lFan OR Blower IDFumace nA/C nElectric Sign
[3Motors FIGas Pumps [3Other
[]Water Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ [ ! ,,~D .~ 0
MASTER ELECTRICIAN.~F'~/]fc~~
3/02