HomeMy WebLinkAbout0145733-Electric (city rehab) 0 CITY OF OSHKOSH No 145733
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 715 WISCONSIN ST Owner RICHARD J /NANCY D OTRADOVEC Create Date 10/25/2010
Contractor FAITH TECHNOLOGIES, INC. Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service Q New 0 Change 0 Temp • N/A Type • Overhead 0 Underground
Volts 120 / 240 Circuits 1 Luminaires 0
Amps 20 Switches 2 Receptacles 4
Appliances
Use /Nature of SFR (City rehab) / Provide GFCI protection where needed, new outlet near basement bath sink, vent fan for upper bath, furnace wiring,
Work and correct violations. * *debit acct
Fees: Valuation $675.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: Date 05/04/2011
❑ Permit Voided Parcel Id # 0500530000
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 necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 260 MENASHA WI 54952 - 260 Telephone Number (920) 751 -9807
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.
5/3/2011 16:29 Remote ID Imprint ID ❑ 3/3
: .A
City of Oshkosh
Division of Inspection Services
-P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone(920)236 -5050
'Fax (920) 236 =5084
H
ON
THE
•.. ". ". O W AT R ,
ELECTRICAL PERMIT APPLICATION
All information after bold Categories musf be provided.
t t not o
Incomplete applies ions will no be processed.
• Applications) and fees) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh. WI 54903-1128. Comrnencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee; which ever is greater.
OR
if you are a contractor participating in the Per it .F e Account System and have adequate , funds, ,check here
if you want this processed through your account
DATE . 04 1
JOB ADDRESS 115
1 *R
4
OWNER .. "...:.... ...:. ra v
CONTRACTOR :. k :: '.
CHECK HALL APPLICABLE
USE CATEGORY
'ngle Family DDuplex DMulti Pam11y DRental DCommercial ❑Industrial
SERVICE DNew DTemporary • TYPE . verhead CJNot Applicable
DChange DNot Applicable ' DUnderground
FILL IN TIM . APPROPRIATE BLANK WITH THE NUMBER
Volts 120 . 1 .. 24 01 - ' . Receptacle 1#
- Circuits #
Phase. 1
:Amps , ... `20 Switches ## : . : • 2. - . .. Fixtures #
CHECK H ALL APPLICABLE
❑Range : .. DDishwasher InGarbage Disposal ODryer DWater Heater
7Fan OR Blower ❑Furnace DA /C (]Electric Sign
DVMtors DGas Pumps - CDOther -
DESCRIPTION OF ALL WORK BEING DONE : - ( t .'_ eleCAT ( J
VALUE (Including labor and all materials including light fixtures) '117
MASTER . ELECTRICIAN — AA,;y! Ai- 0- ATM _ ._.._...
3/02
Received Time May. 3. 2011 4:27PM No.5512