HomeMy WebLinkAbout0142757-Electric CITY OF OSHKOSH No 142757
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 316 SHORELANE ST Owner JAMES H MROCZYNSKI /CYNTHIA C PAGE Create Date 08/24/2010
Contractor JP ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances DISHWASHER
Use /Nature of SFR / KITCHEN REMODEL
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: (
Date 08/24/2010
❑ Permit Voided I Parcel Id # 0206010000
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 t.t any n ssary provals before starting such activity.
Signature Date _ifttit_i
Agent/Owner
Address 24 OREGON ST OSHKOSH WI 54902 - 6924 Telephone Number (920) 420 -2411
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 OJHK01H
ON THE WATER
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 e,y/ i
JOB ADDRESS ,2f� o r e /.4C
£/
OWNER (�yiv -/-4 a. Qo9gam/
CONTRACTOR e Ie l G. c-
CHECK gi ALL APPLICABLE
USE CATEGORY
❑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 #
Phase
Amps Switches # Fixtures #
CHECK VI ALL APPLICABLE
��
❑Range Dishwasher ❑Garbage Disposal ❑Dryer El Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE i°�✓ Pehi /) '
VALUE (Including labor and 11 materials i luding ight fixtures) $ /064.-/
MASTER ELECTRICIAN
3/02