HomeMy WebLinkAbout0151623 - Electric (relocate kitchen receptacles) CITY OF OSHKOSH No 151623
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3109 BELLFIELD DR Owner STEVEN J/MARY E PENTONY
Contractor DREXLER ELECTRIC Create Date 08/10/2012
Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change 9 Q Temp 411, N/A
Type 0 Overhead 0 Underground
Volts
Circuits
Luminaires
Amps
Switches
Appliances Receptacles
Use/Nature of SFR/RELOCATE DISHWASHER AND REFRIGERATOR RECEPTACLES **check#5909
Work
Fees: Valuation $400.00 Plan Approval $0.00
Permit Fee Paid $25.00
Issued By: yr-)
Date 08/10/2012
❑ Permit Voided Parcel Id# 1381030000
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 490 COUNTY ROAD FF PICKETT WI 54964 -9513 Telephone Number (920)589-6700
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 1 54903-1130
(111111111—)
Phone(920)236-5050
Fax (920)236-5084
O HKQ H
ELECTRICAL PERMIT APPLICATION ON THE WATER
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 112 ,
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
I ou are a contractor 'artici•atinf in the Permit Fee Account S stem and have ade•uate unds check here
if you want this nrocessed th�uQh�,our account 0
JOB ADDRESS 6 '
geZ(- /e[ DATE
OWNER
CONTRACTOR`
CHECK El ALL APPLICABLE
USE CATEGORY
Iil:Single Family °Duplex °Multi-Family ORental
❑Commercial ❑Industrial
SERVICE ONew °Temporary
°Change of Applicable TYPE ❑Overhead Blot Applicable
°Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /do / Receptacles#
Phase Circuits#
Amps 0/...4) Switches#
--- Fixtures #
CHECK Elf ALL APPLICABLE
ORange °Dishwasher °Garbage Disposal
°Fan OR Blower °Furnace °A/C °Dryer OWater Heater
°Motors OGas Pumps D0the1 ❑Electric Sign
DE PTION OF ALL W A BEING DONE
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VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIANN j (�_ O
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