HomeMy WebLinkAbout0144488-Electric 1.4 CITY OF OSHKOSH No 144488
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1920 CLIFFVIEW CT Owner SETH 1 /ERIN D MURPHY Create Date 12/28/2010
Contractor BRAUN ELECTRICAL SOLUTIONS INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 120 / 240 Circuits Luminaires 16
Amps Switches 6 Receptacles 10
Appliances
Use /Nature of SFR / LOWER LEVEL REMODEL TO INCLUDE LIGHTS AND RECEPTACLES
Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: ( a— Date 12/28/2010
0 Permit Voided Parcel Id # 1525980000
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 = . - a • ne : -sary approvals before starting such activity.
Signature Ai i Date /2
Agent/Owner
Address 255 LAKE POINTE DR OSHKOSH WI 54904 - 7861 Telephone Number (920) 216 -0517
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 OfHKOfH
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 I'Z — Z —/U
JOB ADDRESS /2/) u, <,
OWNER Sc' f4. `'- (2. 11 f„01, ( /
CONTRACTOR ea as"-v. i�ckl i.;
CHECK IZI 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 /10 / 2 o Receptacles # /(.) Circuits #
Phase ✓; ��1.
Amps e/g Switches # Fixtures # /G,
CHECK El ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
D Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other 4J kits Jeee,
DESCRIPTION OF ALL WORK BEING DONE h r )er 'e to ✓i-r,..)4(
VALUE (Including labor and all materials including light fixtures) $ - •S Gb, b 1�
MASTER ELECTRICIAN c) 131": vt
3/02