HomeMy WebLinkAbout0104996-Electric (corrections)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1069 BISMARCK AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRETT J PIRLOT
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104996
Create Date 10/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring corrections per inspection.
Work
Fees: Valuation
Issued By:
$850.00 Plan Approval $0.00 Permit Fee Paid $30.00
Date 10/28/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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.
10/28/2003 TL~ 08:57 FAX 920 738 8987 SERVICE ~001/001
City of Oshkos]l
Division of Inspection
P.O, Box 1130
Oshkosh, Wl $4903-1130
Phone (920)
Fax (920)
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications wiU 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 penmt(s) will result in fees being doubled or $100.00 plus tho
normal permit fcc, which ever is greater.
OR
II'van are a cO~trnctor particit~ating in the Permbt ~e Account ~g~Stem and have adequate ftmds, chqclt her~
COm'P. XCTOU '73o ovS.W
DATE_
CHECK ~ ALL APPLICABLE
gE CATEGORy
ingl~ Family I~Dup]ex [~Multi-Famfly
SERVICE EINew [3Temporary
l-lChangc 13Not Applicable
I-IRenta! ElCommercial ~lndustrial
TYPE rqOverhead ElNot Applicable
FlUnderground
FILL IN rill; AI~PROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #~
Phase
Amps ~_ Switches #~
Circuits
Fixtures
CH~CK g~ ALL APPLICABLE
E]Range F1Dishwasher E3Oarbage Disposal [~Dryer
[2lFan OR Blower EIFumaoe ~AJC ~Elec~-ic Sign
~Motors 13Gas Putnps E3Other
EIWater Heater
DESCRIPTION OF ALL WORK BEING OONE~_
YALUZ (Including Mbor and an materinls including light fixtures) $ ~cO .~_~
3/02