HomeMy WebLinkAbout0145096-Electric (dormer remodel & addition) CITY OF OSHKOSH No 145096
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1313 WISCONSIN ST Owner OLH LLC Create Date 03/01/2011
Contractor JP ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type Q Overhead Underground
Volts Circuits
- - -- Luminaires 4
Amps Switches Receptacles 4
Appliances
Use /Nature of SFR/ Dormer remodel & addition* Adding smoke detection
Work
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 03/08/2011
Permit Voided Parcel Id # 1210390000
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 perforrn'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 ecure any necess a als before starting such activity.
Signature Date •
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 of Oshkosh
Division of Inspection Services
P.O. Box WI 5
1 41111y)
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOf 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 / gl �1
JOB ADDRESS / /3 U" (-3 Ct 6 kV S /
OWNER
CONTRACTOR 1 k-c- l / G
CHECK la ALL APPLICABLE
USE CATEGORY
ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
ERVICE ❑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 gi ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WO BEING DONE t e° vin V £ / L! e U'V►, & v/S'
IAN Ammomm.s7
/
VALUE (Including labor and 11 materials including light fixtures) $ yI)
MASTER ELECTRICIAN
3/02