HomeMy WebLinkAbout0152688 - Electric (interior remodel) (19 CITY OF OSHKOSH No 152688
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 440 W SOUTH PARK AVE Owner LORENZ L RANGELOFF
Create Date 09/17/2012_
Contractor TRUCK ELECTRIC INC -- Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New
— 0 Change 9 O Temp • N/A Type 0 Overhead O Underground
Volts Circuits - Luminaires
Amps Switches
Receptacles
Appliances — _ — -- — —
Use/Nature of COMM/INTERIOR REMODEL TO INCLUDE OFFICE, (2)BATHROOMS,NC UNIT AND HEATER **check#8318
Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid
$94.00
Issued By: 57110
Date 10/02/2012
Permit Voided Parcel Id# 0906930000
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 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
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.
r+. a rrr+
City of Oshkosh
Division of Inspection services
P.O. Box 1130
Oshkosh.«'I 54903-1130 1
Phone(920) 236-5050
ELECTRICAL PERMIT APPLICATION Arr.All information after bold categories must be provided.
incomplete applications will not he processed
*
Application(c) and fee(s) can be brought to City Hall.Room 205 or mailed to Inspection Services, PO Box
Oshkosh WI 549A-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus d c•
norrnar permit fee, which ever is greater.
OR
If coo area contractor partieioatinR in the Permit Fee Account Stem and have adeduate ands, ch;: n:
you want thisprocessed through your account [
DATE ?'f't �
JOB ADDRESS( 01/3 tt -� '{`a' 1 u. ; : t ._.. #:I
OWNER R (,G 's
CONTRACTOR— _._
CHECK 1?r ALL APPLICABLE
USE CATEGORY
DSingie Family DDuplex DMulti-1~amil} DRental
{ 'ommercial C;htdustriui
SERVICE ONew DTemporary TYPE DOverhead °Not Applicable
DChange @Not Applicable °Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I Receptacles #_cr. "
Phase Circuits #
Switches # ""
Fixtures #
CHECK Lei ALL APPLICABLE
°Range °Dishwasher OCiarbage Disposal DDryer 0 Water I(cater
OFan OR Blower °Furnace DA/C.
DMotors DGas Pumps DOther I]I [ectric Sign
DESCRIPTION OF ALL WORK BEING DONE
..'re i
,
VALUE (Including labor and all materials including light fixture. )S
MASTER ELECTRICIAN' ., �"
C