HomeMy WebLinkAbout0145076-Electric (wire family room) ' CITY OF OSHKOSH No 145076
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3130 BAILEY CT Owner CHRISTOPHER E /JAMIE A WRIGHT Create Date 03/07/2011
Contractor D.KAL ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp • N/A Type n Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / Remodel basement family room.
Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: A2/ Date 03/07/2011
❑ Permit Voided Parcel Id # 1342950800
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 ure an ecess ap ro Is before starting such activity.
Signature Date ? — 7
Agent/Owner
Address 4403 RUSHFORD AVE. OMRO WI 54963 - 9606 Telephone Number (920) 312 -3525
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 WI 1130 4:1!) Oshkosh, WI 54903 -1130
Phone (920) 236-5050
Fax (920) 236 -5084 Of HKOf H
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 3 -//
JOB ADDRESS 3) 3 R& i Iey Co i,v+
OWNER To.ir►►e Lid r , I VA
CONTRACTOR c), C
CHECK 1Z1 ALL APPLICABLE
USE CATEGORY
XSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK H ALL APPLICABLE
D Range DDishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑ Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE /Uew 7 P)v /y /Will /h Luse 41. +
VALUE (Including labor and all I aterials including light fixtures) $ ‘40-0e
MASTER ELECTRICIAN
3/02