HomeMy WebLinkAbout0154048 - Electric (wiring in basement) 0 CITY OF OSHKOSH No 154048
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 813 GROVE ST Owner NORMAN R BOCK Create Date 12/31/2012
Contractor BRENNAN, DENNIS Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
ICI
Use/Nature of ',SFR1 Correct faulty wiring in bsmt,add recepts,move stair light.
Work
Fees: Valuation 0.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: �6� . Date 12/31/2012
Permit Voided Parcel Id# 1105930000
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 �v— ��-- Date
Agent/Owner
Address 1423 RAINBOW DR OSHKOSH WI 54902 -2648 Telephone Number (920)232-7237
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 OfHKO.IH
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 1 2- / 3 't 2
JOB ADDRESS 13 6 rid iL
OWNER
CONTRACTOR O i":.- i-t s rZ (,7*Nf N
CHECK H ALL APPLICABLE
USE CATEGORY
%Single Family ❑Duplex ❑Multi-Family tgRental ❑Commercial 0 Industrial
' SERVICE ONew ❑Temporary TYPE ❑Overhead INot Applicable
❑Change V1Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 20 / 2'10 Receptacles# 4 Circuits# 3
Phase
Amps I 0 0 Switches# Fixtures# 1
CHECK H ALL APPLICABLE
ORange ❑Dishwasher DGarbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Co it - El AA)L-1`I wi dint, i
1S
4.7 A-0 17 Al I='"' 12 it.-t>°fl .4) it.1 J T '2.►,- t-I T 1`
r Qa
VALUE (Including labor and all materials including light fixtures) $ S v
MASTER ELECTRICIAN ;9-- D
3/02