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HomeMy WebLinkAbout2012-Electric CITY OF OSHKOSH No 151528 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1675 RIVER MILL RD Owner MR/MRS CARSTON A LARSON Create Date 05/24/2012 Contractor KOLLMANN ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts Circuits Luminaires Amps Switches 3 Receptacles Appliances Fan or Blower Use/Nature of SFR/Bathroom remodel*to include new double vaity,shower enclosure and toilet within the existing space. **check#2548 Work Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Pai d $46.00 Issued By: - Date 08/03/2012 Permit Voided Parcel Id# 1224350000 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 PO BOX 26 VAN DYNE WI 54979 -26 Telephone Number (920)273-0701 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 4111"..*\ Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 O1HKa1H Fax (920)236-5084 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ❑ DATE z. JOB ADDRESS ( V 75 ( —fie/ " ' " /1 OWNER (4 ,t1 Carjc • J /� f CONTRACTOR 4d lder�5 //`l�L�iksYZ,r� G /�'l/iG L ee CHECK 0 ALL APPLICABLE USE CATEGORY g1Single Family ❑Duplex DMulti-Family DRental ❑Commercial DIndustrial SERVICE ONew OTemporary TYPE ❑Overhead 0Not Applicable ❑Change blot Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# / Circuits# Phase Fixtures# Amps Switches# CHECK® ALL APPLICABLE []age DDishwasher ❑Garbage Disposal ©Dryer DWater Heater pan OR Blower OFumace DA/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE 494211'"'" Remade, t/ VALUE(Including labor and all ma dais including light fixtures)$ MASTER ELECTRICIAN 3/02