HomeMy WebLinkAbout0152928 - Electric (replace Kitchen receptacles) C.) CITY OF OSHKOSH No 152928
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Owner KA CHANG YANG/DAO CHANG Create Date 10/12/2012
Job Address 1403 JACKSON ST ---
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Contractor PRECISION ELECTRIC INC OF THE FO) Category Category Residential-Single Family Addition/R Plan
Inspector Adam Krause ------ Underground--- —----- Type Overhead 9 - - 1
. N/A Yp
Service � New � Change 0 Temp
Volts
Circuits Luminaires Switches--- - --
Receptacles 3
--_
Amps — --
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Appliances r
II
Use/Nature of jSFR/REPLACE KITCHEN RECEPTACLES TO GFCI **check#6691
Work
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Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $25.00
ati- --- — Date 101121.2012
Issued By: kj
Ej Permit Voided] Parcel Id# 1208590000
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.
Date
Signature
Agent/Owner
Address 3355 N MCCARTHY RD APPLETON WI 54913 -8817 Telephone Number (920)757-1633_
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 ��O�I I
Fax (920)236-5084 OK
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE /G
JOB ADDRESS / Va 3 tea.- x'
OWNER b5t o C {n,p ti 5
CONTRACTOR ?rtc,sipvt. £/.ccg'rts— ±ftC-
CHECK®ALL APPLICABLE
,SE CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ONot Applicable
OChange ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# 3 Circuits#
Phase Fixtures#
Amps Switches#
CHECK El ALL APPLICABLE
ORange ODishwasher OGarbage Disposal ❑Dryer ❑Water Heater
DFan OR Blower OFurnace OA/C ❑Electric Sign
❑Motors ❑Gas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE gel ht �' T te&/71 Ch 5
M Gar
VALUE(Including labor and al materials including li ht 1 tures)$ g°13
MASTER ELECTRICIAN Al"
3/02