HomeMy WebLinkAbout0153353 - Electric (repair svc) 0 CITY OF OSHKOSH No 153353
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 100 ALLEN AVE Owner CARRIEWEICH
- - - --- Create Date 11/05/2012
Contractor KAUFMANN ELECTRIC LLC— Category 634-Residential-Service Chang a Plan
Inspector Adam Krause
Service — -
New O Change O Temp • N/A Type- ---- YP ❑ Overhead ❑ Underground
Volts -
Circuits Luminaires
Amps Switches
Receptacles
Appliances — - -
L
Use/Nature of SFR/REPAIR SERVICE MAST PER WPS **check#2140
Work ---
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid
$25.00
Issued By: O )J
Date 11/05/2012
❑ Permit Voided] Parcel Id# 1518930000
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 secs re any necessary approvals before starting such activity.
Signature / .'"(,
Date
Agent/Owner
Address 2677 INDIAN POINT RD OSHKOSH WI 54901 -9609 Telephone Number (920)232-0609
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
(14116-Dir
Division of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
Phone(920)236-5050 _
Fax (920)236-5084 Of (0)(1H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE /— 7 - /
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JOB ADDRESS / 6'ft 4 ie
OWNER Gjr1(4/LL.c' tOe ,CAA-
CONTRACTOR 0.(.11��`LG(C,. ,) ,tf 4, L L �-
CHECK 0 ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE„trOverhead ❑Not Applicable
OChange Olot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /70 / ;?U1G' Receptacles# Circuits#
Phase /
Amps /e0 Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace ❑AIC ❑Electric Sign
❑Motors ❑Gas Pumps ['Other
DESCRIPTION OF ALL W S ' BEING DONE /4464
VALUE(Including labor and all materials including light fixtures)$ xt ��
MASTER ELECTRICIAN ��4,
3/02
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