HomeMy WebLinkAbout0104431 EOSHKOSH
ON THE WATER
.lob Address 932 OSBORN AVE
Contractor UNIVERSAL ELECTRICAL CONTRACTOI
Service [~ New (~) Change (~) Temp
Volts 120 / 240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRIAN A LEDWELL
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 4
Switches 10
No 104431
Create Date 08/26/2003
Plan
~ Underground
Fixtures
Receptacles
8
2O
Appliances
Use/Nature of SFR/Wiring for a 22'x34' addition to include 2 bedrooms and a bathroom.
Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/29/2003
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 3542 N Casaloma Dr Appleton WI 54913 - 0 Telephone Number
920-954-5928
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.
OSHKOSH
ON THE WATER
.lob Address 932 OSBORN AVE
Contractor UNIVERSAL ELECTRICAL CONTRACTO
Ser¥ice ~ New (~ Change (~ Temp
Volts 120 / 240 Circuits
Amps 200 Switches 10
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
Category
BRIAN A LEDWELL
612 - Residential-Single Family Addition/R
Type ~) Overhead
4
No 104431
Create Date 08/26/2003
Plan
(~) Underground
Fixtures
Receptacles
8
20
Appliances
Use/Nature of SFPJ Wiring for a 22'x34' addition to include 2 bedrooms and a bathroom.
Work
Fees: Valuation
Issued By: /
$1,800.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/29/2003
[] Permit Voided~
In the performance of this work I agree to perform all work pursuant to rules goveming 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 bef=re starting such activity.
Signature -~.~.~r~/'~. ) ~'~_ ~ ~ ./~'~- Date
Agent]Owne'~
Address 3542 N Casaloma Dr Appleton WI 64913 - 0 Telephone Number g20-954-5928
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
O/HKO/H
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 Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
DATE ~' -r~q' 9, ~"'"~
JOB ADDRESS
OWNER
CONTRACTOR ~-)~6%v~ ~--~ ~)Cuc/~Cf
/
C~CK ~ ~L ~PLICABLE
~SinCATEGORY
gle Family []Duplex F1Multi-Family
SERVICE FINew []Temporary
[]Change E~N'ot Applicable
[:]Rental [=]Commercial []Industrial
TYPE F1Overhead ~ Applicable
mUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ] ~ / ..~ q 0 Receptacles
Phase /
Amps c~O D Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
[]Range []Dishwasher []Garbage Disposal
F1Fan OR Blower [2Furnace [:]MC
[]Motors [] Gas Pumps [] Other
DESCRIPTION OF ALL WORK BEING DONE
FIDryer
[]Electric Sign
FlWaterHeater
VALUE (Including labor and all materials including light fixtures)
MASTERELECTRICIA.N -"~/-~'kvt~'~, 5~/~'4 ~
3/02