HomeMy WebLinkAbout0146781-Electric (kitchen remodel) e l) CITY OF OSHKOSH 0049_ 146781
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER
Job Address 446 W 15TH AVE Owner VIN J QUALLEY Create Date 07/12/2011
Contractor BRENNAN, DENNIS Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 4 Luminaires 5
Amps Switches 1 Receptacles 6
Appliances
Use /Nature of SFR / Kitchen remodel.
Work
Fees: Valuation $675.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: Date 07/12/2011
❑ Permit Voided I Parcel Id # 0907390000
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 re any ne ssary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1423 RAINBOW DR OSHKOSH WI 54902 - 2648 Telephone Number (920) 232 -7237
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 CJIHKOf 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 / I Z/ U
JOB ADDRESS 1 41.o w 15
OWNER
CONTRACTOR I) 644 s t S 11.4.A
CHECK VI ALL APPLICABLE
USE CATEGORY
ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead FlNot Applicable
❑Change ri2Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 t-0 / L '10 Receptacles # (o Circuits #
Phase 1
Amps t.Od Switches # Fixtures # ,-
CHECK la ALL APPLICABLE
DRange (Dishwasher ❑Garbage Disposal DDryer DWater Heater
OFan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE K t'tc tk " (., w. ad
Of_
VALUE (Including labor and all materials including light fixtures) $ ( S
MASTER ELECTRICIAN 7■3
Lk Z
3/02