HomeMy WebLinkAbout0153730 - electric (remove wiring from attic) CITY OF OSHKOSH No 153730
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 685 W 9TH AVE Owner TRACY STADLER Create Date 11/27/2012
Contractor ACTION ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances – --- —
Use/Nature of SFR/REMOVE KNOB AND TUBE WIRING IN ATTIC **check#3113
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: ��� Date 11/27/2012
❑ Permit Voided Parcel Id# 1305690000
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 3061 W ELBERG AVE APPLETON WI 54914 -5734 Telephone Number (920)734-4020
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
Oshkosh,WI WI 54903-1130
Phone(920)236-5050 OJHKOJH
Fax (920)236-5084
ON THE WATFR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account El
DATE it-
JOB ADDRESS L✓ ' I
OWNER (f0sC7 5/i die ' nn
CONTRACTOR /41-41 vl G. e c.-k -
CHECK El ALL APPLICABLE
USE CATEGORY
2 ingle Family ❑Duplex ❑Multi-Family ❑Rental OCommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change Plot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE A At-Dirt vt giu b A %✓ i r,�t
14 HT
LJ �/ Gam.
VALUE (Including labor and all materials inc ulight fixtures)$ /O 6
f� 16 y'Y
MASTER ELECTRICIAN udin � 6
3/02