HomeMy WebLinkAbout0104888-Building (garage)OSHKOSH
ON THE WATER
.lob Address 1420 W SOUTH PARK AVE
Contractor DILLMAN / SEIDL ELECTRIC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES V BROTSKE
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Amps 0
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104888
Create Date 10/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ RENTAL/ Run underground to feed sub-panel in garage.
Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval
$0.00 Permit Fee Paid $75.00
Date 10/21/2003
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 308 Sherry St Neenah WI 54956 - 0 Telephone Number
920-720-6368
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 []
JOB ADDRESS
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family F1Duplex
F1Multi-Family
SERVICE I-INew FITemporary
VlChange DNot Applicable
/~2~ental ~ommercial []Industrial
TYPE [2]Overhead F1Not Applicable
,~nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~/,~ / ,~/~ Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CH~CK [] ALL APPLICABLE
ElRange I-IDishwasher r'lGarbage Disposal
F1Fan OR Blower F1Fumace F1A/C
F1Motors [] Gas Pumps [] Other
DESCRIPTION OF ALL WORK BEING DONE ,,45>z~ ,~,
F1Dryer I-IWater Heater
ElElectfic Sign
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIA~fq'"-'N~ ~ ~ ~"' ~ tt .~
3/02