HomeMy WebLinkAbout0145213-Electric l CITY OF OSHKOSH No 145213
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2946 SHADOW LN Owner HSBC BANK USA NA Create Date 03/21/2011
Contractor BUD'S ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type ❑ Overhead 0 Underground
Volts 120/240 Circuits 12 Luminaires 10
Amps 100 Switches 20 Receptacles 40
Appliances
Use/Nature of SFR\ Whole house remodel. **debit acct
Work
Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $111.00
Issued By: Date 03/22/2011
❑ Permit Voided Parcel Id # 1519624500
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 se - any necess. ry ap•r• als before starting such activity.
Signature / Al _ A. Date �� 2/ (
Agent/Owner !%
Address PO BOX 2722 OSHKOSH WI 54903 - 2722 Telephone Number (920) 420 -3751
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 Of HKOfH
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
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account Z I
DATE 3/ /1
JOB ADDRESS a9'q� c_110 �XD tA3 4). [ll
OWNER ,4rlrrll j),,vt f (e- / COv r 7 e y be.) Xe
CONTRACTOR _IS. S cc 1 1 L
CHECK 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 /D. d / w:7 Receptacles # L/e) Circuits # A39
Phase
Amps /O A- Switches # Fixtures # /v
CHECK IZI ALL APPLICABLE
Range IFIDishwasher ❑Garbage Disposal 1JDryer ❑Water Heater
Wan OR Blower 1AFurnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE rorhylid2 /2e{ ioh. / 6 r) /k Op t / y
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VALUE (Including labor and all materials including light fixtures) $ ��-
MASTER ELECTRIC _ / 4_
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3/02