HomeMy WebLinkAbout0134089-Electric (remodel)CITY OF OSHKOSH No 134089
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1216 OAK ST Owner US BANK NA Create Date 11/18/2008
Contractor BUD'S ELECTRIC LLC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp ~ N/A I Type 0 Overhead _Q Underground
Volts Circuits 4 Luminaires 10
Amps Switches 2 Receptacles 10
Appliances
Use/Nature of ~SFR\ Remodel to inGude adding recepts, swapping out recepts,
Work
Fees: Valuation
Issued By: ,
Plan Approval $0.00 Permit Fee Paid $77.00
^ Permit Voided
Date 11/18/2008
Parcel Id # 1510380000
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
Address PO BOX 2722
Agent/Owner
OSHKOSH WI 543 - 2722 Telephone Number (920) 420-3751
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 ~ 1 / 1-~C ( 1
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 Svstem and have adequate funds check here
if you want this processed through vour account
DATE l / G
CHECK 0 ALL APPLICABLE
USE CATEGORY
J~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE l~Overhead ^Not Applicable
^Change lB~Tot Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts U / o7~/U Receptacles #_~ Circuits #_~
Phase //\\
Amps Switches # 02 Fixtures # ~ V
CHECK ~ ALL APPLICABLE
1~Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
^Garbage Disposal ^Dryer ^Water Heater
^A/C ^Electric Sign
^Other
VALUE (Including labor and all materials including light fixtures) $ ~~~~
MASTER ELECTRICIAN
3/02