HomeMy WebLinkAbout0151608 - Electric (build bdrm and bathroom above garage CITY OF OSHKOSH No 151608
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 PHEASANT CREEK DR Owner JOSEPH R/DESIREE M BONGERS Create Date 07/09/2012
Contractor BOE ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change O Temp N/A
• Type 0 Overhead 0 Underground
Volts
Circuits Luminaires
Amps Switches
Appliances IA/C Receptacles
Use/Nature of SFR/Build bedroom and bathroom above garage.All work shall meet current code requirements **check#1625
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid
$77.00
Issued By: ?51-y)
Date 08/09/2012
❑ Permit Voided I Parcel Id# 1342510000
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 4423 EUREKA RD OMRO WI 54963 -9615 Telephone Number (920)312-1980
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 OJHKOJH
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- z -12
JOB ADDRESS q 7,0 P � + c rt E
OWNER
CONTRACTOR Abe_ LLe
CHECK H ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead KNot Applicable
❑Change VNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace NIA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE R A I Addy+,vim
VALUE (Including labor and all materials including light fixtures) $ I 1 ZOO,4'1'
MASTER ELECTRICIAN hi a.r k L
3/02