HomeMy WebLinkAbout0144672-Electric (1)1 CITY OF OSHKOSH No 144672
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 665 GROVE ST Owner GARY L BUNKE Create Date 12/27/2010
Contractor HULLAR ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Service p New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / REMODEL BATHROOM AND KITCHEN
Work
Fees: Valuation $980.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: - Date 01/18/2011
❑ Permit Voided I Parcel Id # 1104520000
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 sary ovals before starting such activity.
Signature {/ Date J 4-/1
Agent/Owner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 233 -3667
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 ❑
iAN 1 8
DATE
JOB ADDRESS CC C 6rc,�c Si
OWNER C ry /3 .^141. /
CONTRACTOR /_ l /�r ,E /t�L . .
CHECK ALL APPLICABLE
USEJATEGORY
eS Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑•ot Applicable
DChange EL lot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK la ALL APPLICABLE
D Range DDishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑ Fan OR Blower DFurnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE P," 0,1,/ ` /i,f { rLb-. ,Q 1. 4,
VALUE (Including labor and all materials including light fixtures) $ / e? (' • U )
MASTER ELECTRICIAN
3/02