HomeMy WebLinkAbout0142478-Electric 0 CITY OF OSHKOSH No 142478
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2392 WISCONSIN ST Owner WILLIAM D / BARBARA L CLAUSEN Create Date 08/09/2010
Contractor VOSTERS ELECTRICAL SERVICES LLC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New Q Change 0 Temp • N/A Type Q Overhead Q Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of CONDO / REMODEL BASEMENT **check #1524
Work
L
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: Date 08/09/2010
❑ Permit Voided Parcel Id # 1219750102
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 N4113 IRONWOOD CT KAUKAUNA WI 54130 - 7275 Telephone Number (920) 843 -2706
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 ofO
RECEIVED
ty Oshkosh
Division of Inspection Services AU G 4 2 010
P.O. Box 1130
Oshkosh, WI 54903 -1130 DEPARTMENT Or
Phone (920) 236 -5050 COMMUNITY DE.VELOPMEN3
Fax (920) 236 -5084 INSPECT` '` , = "'Frr 4 >1 °1 J, I A \O�I 1
ON THE WATFR
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 System and have adequate funds, check here
if you want this processed through your account ❑
DATE 7/3 1 ao/O
JOB ADDRESS a31 a WA's c on 51 5t
OWNER B i 1 C. et s.e-r\
CONTRACTOR Vo s tt Cs E )e ,l; ea Se - fv Lt_C
CHECK II ALL APPLICABLE
USE CATEGORY
❑Single Family 14Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK m ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE L °Wt f J%2vG) ) cid : -t O A
VALUE (Including labor and all materials including Light fixtures) $ 3 0 0 D
MASTER ELECTRICIAN 9 rsr ?`0
3/02