HomeMy WebLinkAbout0152551 - Electric (interior wiring) CITY OF OSHKOSH No 152551
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 356 W 19TH AVE Owner LC REAL ESTATE GROUP LLC Create Date 09/25/2012
Contractor SCHREIBER ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service --
New O Change ❑ Temp • N/A Type 0 Overhead O Underground
— -
Volts Circuits
— — Luminaires
Amps Switches
Receptacles
Appliances — -- —
Use/Nature of SFR/MISC. INTERIOR WIRING **check#1859
Work
Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid
Issued By: $94.00
Date 09/25/2012
❑ Permit Voided Parcel Id# 1405480000
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 214 JEAN ST _ COMBINED LO WI 54113_- 1323 Telephone Number (920)740-1761
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
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 sartici,atin. in the Permit Fee Account S stem and have ade•uate unds check here
if you want this processed through your account ❑
DATE a,
JOB ADDRESS 35 \
OWNER
CONTRACTOR '-ic.�.t'c-\\oc_':' 0_C-2V ``_L
CHECK El ALL APPLICABLE
USE CATEGORY
Al Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE DNew OTemporary TYPE ❑Overhead
❑Change ❑Not Applicable Not Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#
Phase Circuits
Amps Switches#
Fixtures#
CHECK l ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑D er
❑Fan OR Blower DFurnace DA/C e ❑Water Heater
DElectric❑Gas Pumps ❑Other ctric Sign
DESCRIPTION OF ALL WORK BEING DONE n;5 c_-
VALUE(Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN ?c5. b
3/02