HomeMy WebLinkAbout0104641 EOSHKOSH
ON THE WATER
.lob Address 311 W 16TH AVE
Contractor MY ELECTRIC CORP.
Service [~ New 0 Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WILLIAM A WALTER
Category 623- ResidentiaI-DuplexAddition/Remodel
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104641
Create Date 10/07/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Duplex / Install recept's, switches, lights, circuits, change service.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval
$0.00 Permit Fee Paid $75.00
Date 10/07/2003
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 1512 RUGBY ST OSHKOSH WI 54902 - 6360 Telephone Number
(920) 231-0707
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.
Division of Inspection Services Page 1 of 2
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5050
ELECTRICAL PERMIT APPLICATION
Ail 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.
If VOU are a contractor participatinq in the Permit Fee Account System and have
adequate funds, type YES if you want this processed throuqh your account I
JOB ADDRESS ]311 W. 16th Ave.
DATEI9/7 /2003
OWNER ]Bill Walter
CONTRACTOR ]MY Electric Corp.
CHECK ;iLL APPLICABLE
USE CATEGORY
C Single Family
C Industrial
Duplex
SERVICE ~ New
Change
Multi-Family C Rental C Commercial
~-Not
F' Temporary TYPE [- Overhead
Applicable
['- Not I-- Underground
Applicable
FILL IN THE APPROPRIATE BLANK W/TH THE NUMBER
Volts ]120/240 Receptacles # ]
Phase I1
Amps ]200 Switches # ]
Circuits
Fixtures
http ://www.ci.oshkosh.wi.us/Community_Development/PermiLApp_Electrical_2002.htm 10/7/03
Division of Inspection Services
CHECK ALL APPLICABLE
[- Garbage
[- Range l- Dishwasher
Disposal
~- Fan OR ~- Furnace ~- MC
Blower
]-- Motors [- Gas Pumps Ot~hert
Dryer
Electric Sign
Page 2 of 2
Water Heater
DESCRIPTION OF ~LI. WORK BEING DONE
lInstall rcpt's., Sw.'s, Lights,
Crts. New service
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN IEric Youngbauer
http://www, ci.oshkosh.wi.us/Community_Development/Permit_App_Electrical_2002-htm 10/7/03