HomeMy WebLinkAbout0105056 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1645 MARICOPA DR
HOEHNE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner H TERRY/HELEN C ANDERSON
Category 612 - Residential-Single Family Addition/Ret
No 105056
Create Date 09/30/2003
Plan
Type I~ Overhead ~ Underground
Circuits 1 Fixtures
Switches 3 Receptacles
Appliances
Use/Nature of CONDO/Wiring in association with converting an existing 3 seasons room with screens into an enclosed 4 seasons room.
Work
Fees: Valuation
Issued By:
$850.00 Plan Approval $0.00 Permit Fee Paid $40.00
Date 10/30/2003
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 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number
920-685-0199
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
[;ax (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 Perm~iI l~'ee Account System and have adequate funds, check here
if you want this processed through your account
CON 'CTOR
CHECK [] ALL APPLICABLE
U, S~ATEGORY
II,Single Family []Duplex rqMulti-Family
SERVICE []New VITemporary
I-1Change V1Not Applicable
[]Rental V1Commercial Ullndustrial
TYPE DOverhead V1Not Applicable
F1Underground
FILL IN TH E APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ~
Phase
Amps Switches # -~
Circuits #
Fixtures
CHECK [] ALL APPLICABLE
VIRange [ZIDishwasher mGarbage Disposal
[3Fan OR Blower FIFumace 12A/C
[]Motors V1Gas Pumps []Other
DESCRIPTION OF ALL WORK BEING DONE
F1Dryer ~Water Heater
F1Electric Sign
VALUE (Including labor and all materials including light fixtures) $
ASTERELECTRIO /..fa_ A/¢e-l n
3/02