HomeMy WebLinkAbout0151736 - electric (assoc with addition) CITY OF OSHKOSH No 151736
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 743 SCOTT AVE Owner ULTIMATE PROPERTIES LLC
Contractor JP ELECTRIC LLC Create Date 08/15/2012
Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service Uisiew 0 Change O Temp • N/A
Type 0 Overhead 0 Underground
Volts
Circuits
Amps
Luminaires
Switches
Appliances Receptacles
Use/Nature of SFR/Electrical work in association with the addition to the house.
Work
Fees: Valuation
$1,200.00 Plan Approval $0.00 Permit Fee Paid
A $77.00
Issued By:
Date 08/15/2012
❑ Permit Voided' Parcel Id# 0505330000
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 any necessary p ro efore starting such activity.
Signature
t Daty
Agent/Owner (/
Address 1615�•T�' GON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-2411
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
OlHK0ER
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
I ou are a contractor ,artici,atinf in the Permit Fee Account S stem and have ade•uate unds check here
i ou want this rocessed throw h our account ❑
JOB ADDRESS 7 Y� DATE 8 /. c1 ----0/3--? D/sue
OWNER
CONTRACTOR d a �1 Le ,.2 L / 1
CHECK R(ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental
❑Commercial ❑Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead
OChange ❑Not Applicable ❑Not Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#
Phase Circuits#
Amps Switches#
Fixtures#
CHECK Ef ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal DD Dryer❑Fan OR Blower ❑Furnace DA/C ry ❑Water Heater
❑Motors ❑Gas Pumps ❑Other ❑Electric Sign
DESCRIPTION OF ALL WORK BEING DONE eteick-&es-,,:v g L?i"T t Ir`Ga t/Yt S / BUD YY/�-
VALUE (Including labor and all materials includin light fixtures) $ .�/ ._c
MASTER ELECTRICIAN r
3/02