HomeMy WebLinkAbout0151685 - Electric (relocate light fixtures) CITY OF OSHKOSH No 151685
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1034 S OAKWOOD RD Owner KERI L MCLEAN LIVING TRUST
Contractor JON LUNDT ELECTRIC Create Date 08/14/2012
Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change O Temp N/A
• I Type 0 Overhead 0 Underground
Volts
Circuits
Amps
Luminaires
Switches
Appliances Receptacles
Use/Nature of SFR/RELOCATION OF 2 LIGHT FIXTURES IN KITCHEN/DINING ROOM
Work
Fees: Valuation W $250.00 Plan Approval $0.00
Issued By�jl Permit Fee Paid $25.00
Date 08/14/2012
❑ Permit Voided I Parcel Id# 1311970105
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 secu ny necess approvals before starting such activity.
Signature /�y
Date /
Agent/Owner
Address W591 COUNTY ROAD X BERLIN WI 54923 -8394
Telephone Number (920)229-1085
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
OfFIKOJH
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 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 8//y/)-
JOB ADDRESS /6 3 y
OWNER C"-r /71
CONTRACTOR �?1,.. E/ec
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family juplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New OTemporary TYPE ❑Overhead
❑Change ❑Not Applicable Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /c2O / a- y2 Receptacles#
Phase / Circuits#
Amps Switches#
Fixtures#
CHECK Q ALL APPLICABLE
ORange DDishwasher ❑Garbage Disposal DDryer
❑Fan OR Blower ❑Furnace DA/C �' DWater Heater
DElectric Sign
❑Motors DGas Pumps p ❑Other
DESCRIPTION OF ALL WORK BEING DONE g7
?/ I J A/1
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
Md I i b r) / (505ab 3/02