HomeMy WebLinkAbout0143237-Electric /14i CITY OF OSHKOSH No 143237
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 233 FULTON AVE Owner DAVID UDONNA L RUCKER Create Date 09/21/2010
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Kitchen appliances including dishwasher and range hood.
Use /Nature of Kitchen remodel to include new lighting, 3 -way switches, outlets where required for counter space and appliances.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 9/21/2010
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❑ Permit Voided Parcel Id # 1000240000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11 -22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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 • - rmit appli tion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and • - ure an ary approvals before starting such activity.
Signature
Date 9l 2- t 1 / a
Agent/Owner
Address OSHKOSH WI 5490 - 4505 Telephone Number
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 OJHKOJH
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 et-2-( tc
JOB ADDRESS 33 FAA- 4-
OWNER
CONTRACTOR A)l
CHECK WI ALL APPLICABLE
USE CATEGORY
Ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New El 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 la ALL APPLICABLE
DRange )(Dishwasher ❑Garbage Disposal ❑Dryer El Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ///c4 ,Y" ems/
VALUE (Including labor and all materials including light fixtures) $ /dO
MASTER ELECTRICIAN
3/02
August 6, 2010
David and Donna Rucker
233 Fulton Ave.
Oshkosh, WI 54901
RE: Kitchen Remodel
Dear David and Donna,
Our quotation forthe following electrical work forthe above:
1.) Install (1) light over sink with wall switch.
2.) Install (8S recessed down Tight in kitchen ceiling. Install (2) 3 -way switches for
control.
3.) Install new light in entry. cersc x3
4.) Install recessed down light in entry closet with wall switch.
5.) Wire range hood.
6.) Wire dishwasher.
7.) Install 20 ampere 110 volt outlets in kitchen to serve all appliances and to code.
GFI outlets with -in two feet of sink.
8.) All walls and ceilings to be open.
9.) Price includes tax and permit.
10.) Owner to provide fixtures and lamps.
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