HomeMy WebLinkAbout0154310 - Electric 0 CITY OF OSHKOSH No 154310
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1316 EASTMAN ST Owner THOMAS G PUTZER Create Date 12/10/2012
Contractor T RUCK ELECTRIC INC Category 623-Residential-Duplex Addition/Remod€ 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 --------------- — --
I
1
Use/Nature of DUPLEX/REWIRE 2ND FLOOR APARTMENT DAMAGED BY FIRE **check#8364
Work
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: Date 01/31/2013
Li Permit Voided I Parcel Id# 1506250000
In the performance •f his work I agree to perform all work pursuant to rules governing the described construction.
While the City of 45.kosh has no authority to e• • ce easement restrictions of which it is not a party, if you perform the work
described in thi, pe , it application wit " an_gasement,the City strongly urges the permit applicant to contact the easement
holder(s)an• o s • -ny necessa, approva,- bef• e starting such activity.
Sig natur• fia 4 Date
Agent/Owner
Address 690 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
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.Q. Box WI 5
Oshkosh.��W 5490:? 1130
Phone (920)236-5050 _
Fax (9201236-5084
C)Pi Ti-, WA`Ei: -~
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 112S,
Oshkosh WI 549)3-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus tihc
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and hay dequate_unds. check her:
if you want this processed through your account [] ,
DATE ti 3/ , 13
JOB ADDRESS /31t� ti --,
(
OWNER 4)1+7—g g-
CONTRACTOR. c k= 4 ( E 111 `
CHECK HALL APPLICABLE
USE CATEGORY
❑Single Family Duplex DMulti-Family t6ental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ( Not Applicable
❑Change lgrNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # 2v Circuits#
Phase
Amps Switches # 0
C Fixtures #
CHECK H ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ODrver DWater Heater
OFan OR Blower ❑Furnace ❑Ali.;. ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK B ING DONE U0 I fe. ao -7-clot r
--WAcZ {--POK4 r\-tet aivykc . c3 „6(...e -t---,, e-
VALUE (Including Mabor and all mater al cluding light fixtur•. ', C`..
n� � -5 ,1 b'
MASTER ELECTRICIAN i / 1 /)"