HomeMy WebLinkAbout0154309 - Electric 0 CITY OF OSHKOSH No 154309
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 911 STARBOARD CT Owner TIMOTHY UHEATHER M PINNOW Create Date 01/31/2013
Contractor T RUCK ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Range, Dishwasher,Garbage Disposal
Use/Nature of 1SFR/KITCHEN AND REC ROOM ADDITION TO HOME "check#8363
Work
Fees: Valuation ,000.00 Plan Approval -- $0.00 Permit Fee Paid $155.00
Issued By: Date 01/31/2013
Permit Voided I Parcel Id# 1522510000
In the performance of this w. agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh'ha-- no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permi app"c:tio• within an easem-• ,the Cit str.ngly urges the permit applicant to contact the easement
holder(s)and to se re a ;.-..ary a•proval •efore startin. s h activity.
Signature !Q\
Date
••-nt/Owner
Address 690 W 3RD A 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
4111)
Division o on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.JHKOJH
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 ❑
DAT — l
Q ���
JOB ADDRESS 'I j I SK-62).r4 2.CTh P+ -
OWNER- 1 (-)1P--:--03 01::,1 i r _
CONTRACTOR uc_ v'/{62. , 1ft C- •
CHECK® ALL APPLICABLE
U E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental DCommercial ❑Industrial
SERVICE ❑New emporary TYPE ❑Overhead fiNot Applicable
❑Change 'Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER /
Volts / Receptacles# v Circuits# `'
Phase
Amps Switches# 1 Fixtures# ✓
CHECK BI ALL APPLICABLE
Range ODishwasher Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE AZoJ Of,� &tui.l A
4-(c>1 f --Cb ✓J ^( O ""I,cU m
VALUE(Including labor and all mat 'al ' ding light fixtures) _ Gad '
MASTER ELECTRICIAN 4043 3/02