HomeMy WebLinkAbout0104807-Electric (receptacle)OSHKOSH
ON THE WATER
JobAddress 835 N MAIN ST
Contractor VALUE ELECTRIC
Service [~ New ~ Change ~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN J/MARJORIE SCHNEIDER
Category 612 - Residential-Single Family Addition/Re~
Type I~ Overhead
Circuits 0
Switches 0
No 104807
Create Date 10/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Rental / Install 20 amp receptacle
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 10/16/2003
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 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.
Cit~ of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oskkosh, 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
OWNER .~/~C~ GC~ ~--
CONTRACTOR ~]~, L-[.)~. ~ L6~-~]~[C'~
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family [2]Duplex
[2]Multi-Family
SERVICE DNew
FIChange
DTemporary
F1Not Applicable
~Rental F1Commercial [21Industrial
TYPE 12Overhead [21Not Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher ElGarbage Disposal rqDryer
121Fan OR Blower [~Fumace F1A/C F1Electhc Sign
F1Motors FIGas Pumps nOther
[qWater Heater
DESCRIPTION OF ALL WORK BEING DONE i OST L(--- ZP AmP E .PT CE
VALUE (Including labor and all materials i/n~cluding light fixtures) $~.
MASTER ELECTRICIAN
3/02