HomeMy WebLinkAbout2011-Electric C .) CITY OF OSHKOSH No 145954
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1331 WASHINGTON AVE Owner KELLY LUADERS 2009 TRUST Create Date 05/12/2011
Contractor LUXURY ELECTRIC LLC Category 634 - Residential -Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120 / 240 Circuits 2 Luminaires 1
Amps 100 Switches 2 Receptacles 1
Appliances Fan or Blower
Use /Nature of SFR / UPGRADE 100AMP 20 CIR. SQ. "D" TO NEW 100 AMP 32 CIR. SQ. "D" AND BATHROOM REMODEL **check #1319
Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: ny- Date 05/18/2011
El Permit Voided I Parcel Id # 0203690000
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 6071 SPRINGBROOK RD OMRO WI 54963 - 8227 Telephone Number (920) 685 -6270
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 et. A . ,
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 V�n�O�l l
Fax (920) 236-5084
ON THE VJATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
o 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 f/
JOB ADDRESS 13 3/ 0"4- ,i. A., s-i- R E E I V E D
OWNER leP iL ti iA- c.t. e fS MAY 17 2011
CONTRACTOR A c.,.- LA- /`y Ej L -e-
DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK H ALL APPLICABLE INSPECTION SERVICES DIVISION
USE CATEGORY
Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE 1YOverhead ❑Not Applicable
(Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /ol-J / 04 D Receptacles # / Circuits # °Z
Phase /
Amps Lv O Switches # 02 Fixtures #
i
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
an OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE £ J , _ - r..d — • e--7' -
(4 /1 I c
% i
VALUE (Including labor and all materials including light fixtures) $
=Wel
' do
MASTER ELECTRICIAN i 4- 1 7.4- L , 46.-
3/02