HomeMy WebLinkAbout0154222 - Electric (interior remodeling) CITY OF OSHKOSH No 154222
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1649 DELAWARE ST Owner CHARLES J/LAURA A KRIER Create Date 12/14/2012
Contractor YOURR ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change O Temp • N/A Type O Overhead O Underground
Volts Circuits 6 Luminaires 8
Amps Switches 8 Receptacles 20
Appliances r -- --- -- --- ---- -- --
Use/Nature of SFR/Interior remodeling and roof*Gutting bathroom, kitchen,back entry replace door and tear off off and replace roof.
Work
Fees: Valuation _ $2,500.00 Plan Approval - $0.00 Permit Fee Paid $104.00
Issued By: Date 01/18/2013
77"T��� ❑ Permit Voided Parcel Id# 1302000000
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 approve fore s rting such activity. /
Signature �/
gent/Owner
Address PO BOX 311 DALE WI-54931 -311 Telephone Number (920)779-6989__
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 O. OfH
ON THE WATFA
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 ❑ J(J
p LJ1-u,1/fW DATE_ . t 2,00
•
JOB ADDRESS /(Y "7' �� 'dr/ ��
OWNER (7i - ' k ' fie._ -
CONTRACTOR % LJr .h'-L_, / LC
CHECK®ALL APPLICABLE
US ATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#2 0 Circuits#
Phase
Amps Switches# Fixtures#
CHECK ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal . ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DF RIPT°/ION OF ALL WORK BEING DONE • _/ �TI. hl
{/l / J(i /( -Q ATE ( 0� 5� ��!/G U�/�� / 744,,
VALUE(Including labor and all materials including lig tures)$7.5C ),
MASTER ELECTRICIAN. s I fri��
3/02