HomeMy WebLinkAbout0146161-Electric (city rehab) CITY OF OSHKOSH No 146161
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 421 DOVE ST Owner UDOM PUTHORNSRI /MAI LEE THAO Create Date 05/06/2011
Contractor ACE ELECTRICAL SERVICES LLC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires 2
Amps Switches 4 Receptacles 3
Appliances
Use /Nature of SFR / City rehab / Install range hood, basement outlets & GFCI's, wiring for dryer and stove, and new 3 -way switches for hallway and
Work living room.
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 06/02/2011
❑ Permit Voided I Parcel Id # 1610280000
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 ne ary approvals before starting such activity.
Signature ✓ Aoe26
Date -pi
Agent/Owner
Address 1502 PUNHOQUA ST OSHKOSH WI 54902 - 2647 Telephone Number (920) 410 -8561
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 HKOf 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 0/?-6 JOB ADDRESS q bait 5 T"
OWNER 14 i T6.1
CONTRACTOR A ;(.ec.T2(C/`}2- 5 - e i I66-s- CL_
CHECK 0 ALL APPLICABLE
U E CATEGORY
gle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead Not Applicable
El Change RtNot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /20 / 2Y Receptacles # Circuits #
Phase /
Amps /OD Switches # Fixtures #
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps El Other
DESCRIPTION OF ALL WORK BEING DONE /�a✓sin, ,4,4 r "%'-e?
VALUE (Including labor and all materials including light fixtures) $ /29c • ck)
MASTER ELECTRICIAN
3/02