HomeMy WebLinkAbout0151948 - Electric (bathroom remodel) CITY OF OSHKOSH No 151948
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1358 OTTER AVE Owner CYNTHIA SITTER Create Date 08/24/2012
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
Underground
Volts Circuits 3 Luminaires 2
Amps Switches 3 Receptacles 3
Appliances Fan or Blower
Use/Nature of SFR/BATHROOM REMODEL AND ADD SUB-PANEL FOR ADDITIONAL ROOM **check#2572
Work
Fees: Valu L$925.00 Plan Approval $0.00
Permit Fee Paid $60.00
Issued By:
Date 08/24/2012
❑ Permit Voided I Parcel Id# 0205670400
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
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKO f_
C:., T-IF 'VA1FR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
fyou want this processed through your account ❑
DATE .2-
JOB ADDRESS /3�? 7'e c 571.
OWNER C;H' / / /
CONTRACTOR Gingahn G(ectf,'� L I C
CHECK 0 ALL APPLICABLE
USE CATEGORY
.P9aSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ONew OTemporary TYPE ❑Overhead /Not Applicable
❑Change 11Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles# 3 Circuits# 3
Phase r�
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal :Dryer ❑Water Heater
ElFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESC IPTION O ALL WpRIC BEING DONE 1342. 'v'C7.7-- �(f
4Jet- ?�
VALUE (Including labor and all materials including light fixtures)$
MASTER ELECTRICIAN €7
3/02