HomeMy WebLinkAbout0103726 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
1922 1928 OREGON ST
VALUE ELECTRIC
~ New (~ Change
CITY OF OSHKOSH No 103726
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner BENEDICT A SCHNEIDER II
Category 623 - Residential-Duplex Addition/Remod~
(~ Tamp Type ~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 08/2712003
Plan
Q Underground
Appliances Range
Use/Nature of )UPLEX/upgrade receptacles to grounded types, range receptacle, laundry receptacle, clean up hanging NM cables.
Work
Fees: Valuation
Issued By:~
$700.00 Plan Approval $0.00 Permit Fee Paid $30.00
Date 08/27/2003
[] Permit Voided~
In the pedormance 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 1220 GREENFIELD TRL Oshkosh WI 54904 - 0 Telephone Number 233-4533
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
ELECTRICAL PERMIT APPLICATION
All 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 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 []
JOB ADDRESS
OWNER
CONTRACTOR
DATE
CHE. CK [] ALL APPLICABLE
USE CATEGORY
v1Single Family ~Duplex VIMulti-Family
SERVICE VINew V1Temporary
V1Change FINot Applicable
VIRental F1Commercial U]Industrial
TYPE F1Overhead DNot Applicable
V1Underground
FILL IN TH~ APPROPRIATE BLANK WITH TFFI~. NUMBER
Volts / Receptacles # ~' Circuits fl ~ '
Phase
Amps Switches # ~ Fixtures #
CHECK [] ALL APPLICABLE
IgC.Range I-1Dishwasher []Garbage Disposal VIDryer
mFan OR Blower IDFumace DA/C FIElectric Sign
F1Motors V1Gas Pumps F1Other
F1Water Heater
DESCRIPTION OF ALL WORK BEING DONE (] ~F~/~ ~/~ccg~ TO G~U~D~
VALUE (Including labor and all materials including light fixtures)
3/02