HomeMy WebLinkAbout0105732-ElectricCITY OF OSHKOSH
105732
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date12/11/2003
520 OAK STMARY P PHIPPS
ContractorHOEHNE ELECTRICCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of SFR/ Wiring in association with the single story addition and remodel of existing house.
Work
Plan Approval$0.00
Fees: Valuation$2,000.00Permit Fee Paid$60.00
Issued By:Date12/12/2003
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.
SignatureDate
Agent/Owner
813 E RIVER DROMROWI549630920-685-0199
Address-Telephone Number
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.
Dec 03 08:50,�M p.1
City r 1 5 '(�b 1 5
Division of Inspection S ces f• �0� e A r _PO
P.O. Box 1130
Oshkosh, WI 54903 -1131 r w Lt be_ o 9 S
Phone (920) 236 -5050
Fax (920) 236 -5084 N �t,.-1-■av O /HKOJH
4/ e ti 'a ,J ON THE WATFR
7 ‘r". ELECTRICAL P API IGATI
-Qc0 All in n 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 permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particinatinz in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account
DATE lri4r1 1 -03
JOB ADDRESS 5z c0 l
OWNER m 4.'r(6 ?N-119 F'5 p
CONTRACTOR I neiri11C. F�,,i eCa r --i
CHECK ALL APPLICABLE
5 _4E CATEGORY
ingle Family ❑Duplex QMulti Family ORental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles Circuits
Phase
Amps Switches Fixtures
CHECK la ALL APPLICABLE
°Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 11-J t-14Ov.. 0 rk A-l' -C 1-10.
VALUE (Including labor and all P Is including light xtures 650..0a
MASTER ELECTRICI