HomeMy WebLinkAbout0151365 - electric (disconnect outside fixtures) CITY OF OSHKOSH No 151365
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 213 E MURDOCK AVE Owner KATHRYN J BINDER Create Date 07/25/2012
Contractor HOULE ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service ❑ New 0 Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires 2
Amps Switches 2 Receptacles 2
Appliances
Use/Nature of SFR/DISCONNECT OUTSIDE FIXTURES AND A/C RECEPTACLE DUE TO SIDING **check#5154
Work
Fees: Val on $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 07/25/2012
❑ Permit Voided Parcel Id# 1504290000
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 artgnecgssayy'approvalSSyybefore starti,.such activity.
Signature r c/
Date 7--
Agent/Owner
fI
Address 6264 SHEA RD OSHKOSH WI 54904 -6866 Telephone Number (920)410-7220
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 OfHKOf 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 "7 2 s /2
JOB ADDRESS ' I 3 6 ,,le.,r aG lc-
OWNER Ka.+G,Y (1,1 ei/` r
CONTRACTOR d-c_ ---7e e.--6.--.L. �' e
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# 7r Circuits#
Phase
Amps Switches# `2-- Fixtures#
CHECK H ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other (�
DESCRIPTION OF ALL WORK BEING DONE CT,r. G 4,^ .c-/ o ''64- ` r'X'�i1 rt 5
re- cr‘S — /4G
VALUE (Including labor and all materials in uding light fixtures) $ 5-0C- —
7 MASTER ELECTRICIAN ,-7.--7/ --4`----------
3/02