HomeMy WebLinkAbout0140622-Electric (add sub panel) CITY OF OSHKOSH No 140622
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1804 GEORGIA ST Owner DANIEL J /PAT CARPENTER Create Date 04/22/2010
Contractor SLIM'S ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp • N/A Type O Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / Add sub - panel.
Work
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: � Date 04/22/2010
El Permit Voided I Parcel Id # 1408590000
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 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number (920) 426 -5249
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.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236-5084
Phone (920) 236 -5050
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.
If you are a contractor participating in the Permit Fee Account System
and have adequate funds, type YES if you want this processed through
your account
DATE 04/20/10
JOB ADDRESS 1804 Georgia St.
OWNER Dan Carpenter
CONTRACTOR SLIM'S ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY X Single Family Duplex Multi- Family
Rental X Commercial Industrial
SERVICE r New r Temporary TYPE Overhead Not
Applicable
Change Not 1° Underground
Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles
Circuits #
Phase 1
Amps 100 Switches # Fixtures #
CHECK ALL APPLICABLE
f Range r Dishwasher Garbage f D Water
Disposal Heater
Fan OR r
Blower Furnace A/C Electric
Sign
r-
Motors pas Other 1
DESCRIPTION OF ALL WORK BEING DONE and exit fixture.
Add Sub - panel
VALUE (Including labor and all materials including light fixtures)
$ 400.00
AP A J
MASTER ELECTRICIAN fr# /V. /,,