HomeMy WebLinkAbout0152398 - Electric CITY OF OSHKOSH No 152398
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3865 EDGEWOOD RD Owner DONALD C BARTZ
— — - — Create Date 08/24/2012
Contractor HOULE ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector John Zarate
Service New 0 Change ❑ Temp • N/A e
_ J Yp 0 Overhead ❑ Underground
Volts — Circuits 4
Luminaires 2
Amps Switches 2
Receptacles 10
Appliances j --
Use/Nature of SFR/SUNROOM ADDITION **check#2720 — ----
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid —$60.00
Issued By: all Lvd —
Date 09/17/2012
❑ Permit Voided Parcel Id# 1282000100
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 applica ion wit an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure a eces prov e starting sucll_activiK.
Signature
Date „4 - 7
Agent/Owner
Address 6264 SH RD — OSHKOSH WI 54904 -6866 Telephone Number (920)410-7220
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
4plir
WI
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
O HKO H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I ou are a contractor ,artici•atinf in the Permit Fee Account S stem and have ade•uate unds check here
if you want this processed through your account 0
JOB ADDRESS 3 �S �5 �� e
OWNER cZi7gr1e__
CONTRACTOR /44 i/C E/.e 4rl e
CHECK ®ALL APPLICABLE
USE CATEGORY
CgSingle Family ❑Duplex ❑Multi-Family DRental DComniercial DIndustrial
SERVICE DNew DTemporary TYPE DOverhead
DChange DNot Applicable Not Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#__ t� �
Phase Circuits#_
Amps Switches# 2._
Fixtures# Z
CHECK I3 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal D
OFan OR Blower OFumace RA/C Dryer ❑Water Heater
El Sign
❑Motors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE 1-7 CO 0/77
Cl e C'---(W-4 rcq /
VALUE(Including labor and all materials including light fixtures)$ / G?
MASTER ELECTRICIAN
3/02