HomeMy WebLinkAbout0145780-Electric (bathroom remodel) CITY OF OSHKOSH No 145780
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 600 FOX FIRE DR Owner JEFFREY /DEBRA THOMS Create Date 05/06/2011
Contractor RICK STEFFENS ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / BATHROOM REMODEL TO INCLUDE ADDING (2) RECESS CAN LIGHTS OVER TUB AND INSTALL DEAD FRONT GFCI
Work FOR HOT TUB **check #1350
Fees: Valuation $680.00 $680.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: 5 y�lv Date 05/06/2011
El Permit Voided I Parcel Id # 0657100000
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 1835 E EDGEWOOD DR STE 105 #37 APPLETON WI 54913 - 9325 Telephone Number (920) 734 -3755
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
Oshkosh, WI WI 54903 -1130
CA)
Phone (920) 236 -5050
Fax (920) 236 -5084 0/1--KOJH
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 ❑
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JOB ADDRESS C ■ r� 1CF, /p ZiPGa&
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OWNER j� 4 he 4 7-X°1"
CONTRACTOR Age.1 ..57C 4 S �r c_
CHECK ® ALL APPLICABLE
USE GORY
Ingle Family ❑Duplex ❑Multi ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change plicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK VI ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal . ❑Dryer ❑Water Heater
❑Fan OR Blower OFurnace OA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DES : 1' ON OF ALL WORK BEING DONE
E
rue - eqs
rCo #J7 — 61c. ,R Ti
VALUE (Including labor and all materials inclu g light fixtures) $ Sas
MASTER ELECTRICIAN
3/02