HomeMy WebLinkAbout2012-Electric (bathroom, oulet repairs) CITY OF OSHKOSH No 154306
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1303 WALNUT ST Owner KEISHIA M HAASE Create Date 12/18/2012
Contractor JP ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires 3
Amps - Switches 3 Receptacles 3
Appliances
VIII
Use/Nature of SFR/City rehab/Provide GFCI protection,abandon electric to shed, install vent fan&outlet in bath,outlet repairs,3-way switch&
Work lights for stairway,switch&light for upper south bedroom,and correct violations. **check#2754
Fees: Valuation $1,775.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 01/31/2013
❑ Permit Voided] Parcel Id# 1206160000
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
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Division o I
on of Inspection Services
P.O.ooh
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of-K DJ-1
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
'.` / / DATE /—Yd—/�
JOB ADDRESS 7-�o� e4/4o-7/1/v
OWNER
CONTRACTOR J r e -r /(c_
CHECK 0 ALL APPLICABLE
USE CATEGORY
Jingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
OChange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK l ALL APPLICABLE
ORange DDishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other / gar 0
DESCRIPTION OF ALL WORK BEING DONE /1/e5 vy p ./4/g rt +{��//- (Poles'e_ (ef tt r S
f / f
r} - r1r re- f. /ct LJ_ / G F-Z's
•
VALUE(Including labor and all materials including light fixtures)$ /22
MASTER ELECTRICIAN 1
3/02