HomeMy WebLinkAbout0152166 - Electric (wiring in Attic) 0 CITY OF OSHKOSH No 152166
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 345 SARATOGAAVE Owner JEFRREY J GROPP ETAL Create Date 09/06/2012
Contractor ACTION ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause —_
Type Overhead Underground
New Change Temp N/A � yp � Under round
Volts Circuits Luminaires
Amps
Switches Receptacles
- --- --
Appliances
Use/Nature of 'SFR/REMOVE KNOB&TUBE WIRING IN ATTIC "check#2962
Work
Fees: Valu ' n r ,,� $800.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: "— Date 09/06/2012
❑ Permit Voided Parcel Id# 1008470100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh h uthority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit plicati withi r ,c"-easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to sec a eces = • _ tarting such activity.
Signature
Date
Agent/Owner
Address 3061 W ELBERG AVE APPLETON WI 54914 -5734 Telephone Number (920)734-4020
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 HKOf H
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 ❑
c� �1 DATE 2. ��-
JOB ADDRESS 3 -/1
OWNER '3 eS/C fl 1c.1 uJ
CONTRACTOR -CJr -
CHECK RI ALL APPLICABLE
USE CATEGORY
El Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK CZ1 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTI�Nf OF ALL WO BEING DONE
1` 0-0J-( 6 /Lrti b . -ri:' I-J s (-J() 46 _S
VALUE (Including labor and all materials including light fixtures) $ SOL)
MASTER ELECTRICIAN T 1 . va
+ ` ! / _ 3/02