HomeMy WebLinkAbout0104935 EOSHKOSH
ON THE WATER
Job Address 1414 N MAIN ST
Contractor VALUE ELECTRIC
Service [~ New ~ Change ~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SECRETARY OF HOUSING AND URBAN DI
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 0
No 104935
Create Date 10/20/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/Rewire and upgrade all electrical systems in rental two-family structure.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 10/23/2003
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.
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 D ss
OWNER
CONTa ,CTOR []ALI)& L TI2tC,
CIIECK [] ALL APPLICABLE
USE CATEGORY
r'lSingle Family DDuplex
~ulti-Family
SERVICE [3New
F1Change
nTemporary
DNot Applicable
IDRental nCommercial E]Industrial
TYPE r-lOverhead [3Not Applicable
[3Underground
FILL IN TttE APPROPRIATE BLANK WITH TYIE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range [:]Dishwasher [3Garbage Disposal
[3Fan OR Blower [3Furnace [3A/C
nMotors nGas Pumps 12Other
DESCRIPTION OF ALL WORK BEING DONE
L -ctf"d.
nDryer [3Water Heater
DElectric Sign
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~ ~
3/02