HomeMy WebLinkAbout0142744-Electric (addition) 0 CITY OF OSHKOSH No 142744
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 609 W 9TH AVE Owner JENNIFER L LISKA Create Date 08/02/2010
Contractor P&J KAMPO ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A I Type 0 Overhead Q Underground
Volts Circuits 1 Luminaires 2
Amps Switches 4 Receptacles 4
Appliances
Use /Nature of I SFR / MUDROOM ADDITION * *check #11332
Work
Fees: Valuatio $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 08/24/2010
El Permit Voided Parcel Id # 1303350000
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 50 PHEASANT CT - APPLETON WI 54915 - 4527 Telephone Number (920) 730 -8556
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 oOfsh
Division si o In
on of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236-5050
Fax (920) 236-5084
(7173.71
J I A
ON THE WAIFR
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractgr participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
DATE 8 13- its
JOB ADDRESS 42 o R S -}- po■ `" 8 1 3 - 0 0kt - ►
OAR S` N'. v L RECEIVED
CONTRACTOR PT Kawic Eta. Thy AUG 2 4 2010
CHECK RI ALL APPLICABLE DEPARTMENT OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
1$Single Family °Duplex °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 # 1
Phase
Amps Switches # ''1 Fixtures #
CHECK ® 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 PA VatOCTA ac •4.c„^
VALUE (Including labor and all materials including light fixtures) $ S& 4 r c 2 s. "
Fee-
MASTER ELECTRICIAN
3/02