HomeMy WebLinkAbout0146811-Electric I CITY OF OSHKOSH No 146811
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1016 KANSAS ST Owner RONNIE UANN R PALM Create Date 06/17/2011
Contractor JP ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 10 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR\ Bathroom and laundry remodel.
Work
Fees: Valuation , $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: C,� � , '`'l.✓ Date 07/13/2011
❑ Permit Voidedl Parcel Id # 1305560100
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 ermit application within an easement, h
P Pp t, t e City strongly urges the permit applicant to contact the easement
holder(s) and to ure any necess pproval efore starting such activity.
Signature Date 7/1?/(l
Agent/Owner
Address 7 OREGON ST OSHKOSH WI 54902 - 6924 Telephone Number (920) 420 -2411
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), 9 ( 9 rY), Y our Name and Phone
Number. Unless specified h
p otherwise, we will assume the project is ready re at the time the request is received. Work may
q
Y
continue if the inspection is not performed within two business days from the time the project is ready.
0
Ci ty of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOIH
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,
h 54903-1128. without permit(s) will result in fees being doubled or 100.00
Oshkosh WI 54903 1128. Commencin work withou s $
Commencing P () g plus the P
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/"/ I
d /�
JOB ADDRESS / � A4 V
OWNER
CONTRACTOR d 0 r1 „ G // t
CHECK Flf ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
DChange [Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other / // /J 1
DESCRIPTION OF ALL WORK BEING DONE , Ed-T� r 0-0- - --�,y_c„ Jai/
VALUE (Including labor and all materials including lig fixtures) $ —S
MASTER ELECTRICIAN ( )),e5.-
3/02