HomeMy WebLinkAbout0146316-Electric #14 CITY OF OSHKOSH No 146316
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 811 DOVE ST Owner CHADD HUISMAN Create Date 05/26/2011
Contractor JK ELECTRIC Category 611 - Residential -New Single Family Wirin Plan
Inspector Adam Krause
Service • New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120 / 240 Circuits 12 Luminaires 15
Amps 200 Switches 20 Receptacles 35
Appliances Range, Dishwasher, Furnace, A/C, Garbage Disposal, Dryer
Use /Nature of NSFR / NEW HOME
Work
Fees: Valua� $4,800.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: Date 06/13/2011
❑ Permit Voided Parcel Id # 1603410000
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 E9102 MANSKE RD NEW LONDON WI 54961 - 8938 Telephone Number (920) 982 -7848
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 HKOJH
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 ❑ /
�i DATE (P / 3 — / 1
JOB ADDRESS lS i) jLnJZ
OWNER l LA5re wrn tAD114-PS
CONTRACTOR y., G (e. Ar, c_
CHECK lig ALL APPLICABLE
USE CATEGORY
ill Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial [Industrial
SERVICE NNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable l3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 170 / Z'-1O Receptacles # Circuits # / Z.
Phase
Amps / pt') Switches # P'0 Fixtures # / S
CHECK Ei ALL APPLICABLE
age [Dishwasher [Garbage Disposal Dryer ❑Water Heater
❑Fan OR Blower pFurnace FaA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other /
DESCRIPTION OF ALL WORK BEING DONE lc) I r rK, /7P w ho0-i -Q
VALUE (Including labor and all mater' including li ht ji.: tures) $ VC/
MASTER ELECTRICIAN ,
3/02