HomeMy WebLinkAbout0151420 - electric (remodel Kitchen) CITY OF OSHKOSH No 151420
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1155 ALGOMA BLVD Owner JEANNE W TONDRYK Create Date 07/25/2012
Contractor WRIGHTS ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A Type O Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Remodeling the kitchen to according code requirements **check#105
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: C ( � Date 07/30/2012
Permit Voided Parcel Id# 0507180000
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 620 BUCHANAN ST LITTLE CHUTE WI 54140 -0 Telephone Number (920)740-2297
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 5
Oshkosh,WI 54903-1130 `
WI
Phone(920)236-5050
Fax (920)236-5084 0/1--IK JH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE . 2
JOB ADDRESS if 4 I('s-
OWNER
CONTRACTOR ?C Qow� k„ )t 4 C't
CHECK®ALL APPLICABLE
USE CATEGORY
9.8ringle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Te porary TYPE ❑Overhead , Not Applicable
OChange Mot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 /Zu v Receptacles# Circuits#
Phase i
Amps 1.5%-) Switches# Fixtures#
CHECK Ef1 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 14.
G �
VALUE(Including labor and all materials including light fixtures)$ J n
MASTER ELECTRICIAN "i"
3/02