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0105922-Electric (breaker panel)
CITY OF OSHKOSH 105922 No OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job AddressOwnerCreate Date01/02/2004 2490 KINGSTON PLJAMES A/KATHY J BAULDRY ContractorSECKAR ELECTRICCategory634 - Residential-Service ChangePlan ServiceTypeOverheadUnderground NewChangeTemp VoltsCircuits0Fixtures0 Amps0Switches0Receptacles0 Appliances Use/Nature of SFR/Install pedestal meter socket, 100 amp disconnect and wiring to existing breaker panel. Work Plan Approval$0.00 Fees: Valuation$575.00Permit Fee Paid$26.00 Issued By:Date01/02/2004 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 5920 COURTNEY PLUMMER RDWINNECONNEWI549860(920) 582-4909 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. FRDM FAX N0. .:9205924909 Jul. 22 2003 05:30AM P1 Ciry of pchkosh Division of lnspectton Semces P.O. Box 1130 Oshkosh, WI 54903-1130 .Phone (920) 236-5050 Fax (920)236-5084 . . ,~ ~,~ ~, ~ ~~ ~ ~, l~ ELECTRICAL PERMlT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. C2: • Application(s) and fees} can.be brought to Ciry Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in ices being doubled or $100.00 plus the normal permit fee, which ever is greater. l1R _ _ (f ynu want this nroggssed through vnur a ount aoB ADDRESS .Z~}~p ~ ~ IUGSTb N p ~c~" OWNER J ~I~~ ~A(U t-D~ `~ CONTRACTOR ~~G ~ ~"2-e~G-n° I t- CHECK ®ALL APPLICABLE US CATEGORY Single Family DDuplex DMulti-Family SERVICED ew OTemporary ~Chsnge ©Not Applicable HATE DEC 31 _700. Rental OCommcrcial Industrial TYPE ~Ovenc~ad l~Not Applicable ~7ndcrgtuund FILL IN THE APPROPRIATE BLANK WITH THE NUMBER voles IZa ~ zy u Plisse ~. Amps t~ t7 CHECK ®ALL APPLICABLE ORangc ODishwasher QFan OR Blower OFurnace OMotors C7Gas Pumps DESCRIPTION pF ALL WORK BEING !OalkMP _ DISCoN N~c.T NG VALUE (Including labor and all terlah including light li:ttures) S 57~ D~ MASTER ELECTRICIAN ~ ~-- ~ . 1 Receptacles #~ Switches # Circaks # Fi' ct ro to es # OGarbage Disposal OIhyer QWater Heater []A/C DElectric Sign OOther 3/0Y Electric Permit Work Card Job Address 2490 KINGSTON PL Permit Number 105922 Create Date 01/02/2004 Chnrnec JAMES A/KATHY J BAULDRY Contractor SECKAR ELECTRIC Category 634 -Residential-Service Change Service ~ New ~ Change Q Temp Q N/A I Type Q Overhead ~ Underground Q N/A Volts Circuits 0 Fixtures 0 Amps 0 Switches 0 Receptacles 0 Fee $26.00 ^ Value $575.00 Appliances Use/Nature of Work meter socket, 100 amp Inspections: Date 01/08/2004 Type Service Faxed request 1/8/03 10am sound not get in 7/8/04 12 pm called in] 1/12/04 mailed in DateTme requested: 01/02/2004 08:17 AM Access: Electrician on site Inspector Jon Fischer Notice Type: Phone Number: 379-6822 approved Ready DatelTime: 01/08/2004 09:00 AM Requested by: SECKAR ELECTRIC-Diane Q Reinspect Fee ~ Fee Wavied ^ Reinspect Fee Paid