HomeMy WebLinkAbout0154304 - Electric (remodel and svc change) 0 CITY OF OSHKOSH No 154304
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 557 MOUNT VERNON ST Owner ULTIMATE PROPERTIES LLC Create Date 01/31/2013
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service , New • Change 0 Temp O N/A Type O Overhead 0 Underground
Volts 120/240 Circuits - Luminaires -
Amps 100 Switches Receptacles
Appliances r
Use/Nature of SFR/REMODEL AND SERVICE CHANGE **check#2755
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: S1'iLc) Date 01/31/2013
Permit Voided Parcel Id# 0402740000
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 1615 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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 f-K0/-I 1
Fax x (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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE /-3a --,'J
JOB ADDRESS .5�—7 ()if tkr'.0 /1'
OWNER //
CONTRACTOR -...-Y Q c -/- 'r c 1 /4—
CHECK lZI ALL APPLICABLE
USE CATEGORY
psingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑ lew ❑Temporary TYPE ❑Overhead ❑Not Applicable
al Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2 0 / 2-416 Receptacles# Circuits#
Phase / 1
Amps 161> Switches# Fixtures#
CHECK lEl ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE e�viioId d �c°r`v Le--c- ( ,L4-0-1 `e
VALUE(Including labor and all materials including light fixtures)$ 't i7e9-6 6l
)01 MASTER ELECTRICIAN ' P.41-ar-etA-----
3/02
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