HomeMy WebLinkAbout0152343 - Electric (wire new AC (09/13/12) CITY OF OSHKOSH No 152343
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1934 FABRY ST Owner LUCIA L FRANZEN Create Date 09/13/2012
Contractor HEATLEY ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead O Underground
Volts 120/240 Circuits 2 Luminaires
Amps 100 Switches Receptacles
Appliances i
Use/Nature of SFR/WIRE NEW A/C SYSTEM TO INCLUDE CONDENSATE PUMP **check#19576
Work
Fees: Valuation $390.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: ( — Date 09/13/2012
❑ Permit Voided I Parcel Id# 1412480000
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 611 N STANTON ST RIPON WI 54971 - 1183 Telephone Number (920)748-7786 _
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
4161)
Phone(920)236-5050
Fax (920)236-5084
OfFIKOIH
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 0?/(02----
JOB ADDRESS / ? 39'
-(---4- % Y
OWNER Lvl..jl / y/
CONTRACTOR € A Lire° ELECTRIC
611 N STANTON
CHECK Q ALL APPLICABLE)PON, WI 54971
SE CATEGORY
_.ngle Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial
SERVICE ❑New ['Temporary TYPE DOverhead C lot Applicable
❑Change 4iot Applicable ['Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts fZO / 2f(c3 Receptacles # Circuits#
Phase /
Amps C CO Switches # Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ['Furnace /C DElectric Sign
❑Motors El Gas Pumps ❑Other
D SC I TION 19F ALL/WORK IJLEJNG DONE E f L !V –' ' 41/c.— S'ys4'
/ i
VALUE (Including labor and a 'als g/i%/fixtures) $
MASTER ELECTRICIAN 4Q / /7/
3/02