HomeMy WebLinkAbout0154561 - Electric (kitchen/bathroom remodel) CITY OF OSHKOSH No 154561
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1527 FOX ST Owner GERALDINE SERAPHINE Create Date 02/26/2013
Contractor LEDGEVIEW ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New 0 Change • N/A Type O Temp yp� 0 Overhead 0 Underground
Volts 120/240 Circuits 8 Luminaires 8
Amps 100 Switches 13 Receptacles 20
Appliances Range, Fan or Blower, Dishwasher,Garbage Disposal, Dryer,Water Heater
Use/Nature of SFR/KITCHEN AND BATHROOM REMODEL TO INCLUDE MOVE 100A PANEL OUT OF CLOSET ONTO ENCLOSED PORCH
Work **check#2874
Fees: Valuation $4,385.39 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: WA/Li Date 02/26/2013
❑ Permit Voided Parcel Id# 1600990000
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 380 LEDGEVIEW AVE - -_FOND DU LAC WI 54935 -3644 Telephone Number (920)923-6942
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 W WI I 1130
5
Oshkosh, 54903-1130
Phone(920)236-5050
Fax (920)236-5084
ON A
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete appliations 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 FP41 ,261 26/3
JOB ADDRESS /52.7 rcY- Sr.
OWNER (S etc I Yh. Ya...pk r 1Z'_
CONTRACTOR L e r.Qr- ✓t w 'sec/--,
CHECK®ALL APPLICABLE
USE CATEGORY
pSingle Family ODuplex OMulti-Family ORental OCommerciai Ohidustrial
SERVICE Mew OTem
Po�Y TYPE B�Overhead []Not Applicable
OChange rErNot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z.0 / Z 4'D Reeeptaeles# L e Circuits# 8
Phase
Amps 1 OD Switches Fi
zfarea# (� }
CHECK fill ALL APPLICABLE
Range INDishwasher ®Garbage Disposal lRDryea ®Water Heater
Fan OR Blower OFurnace DA/C ❑Electric Sign
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE /f o pyL leeaycookt
17101.y. 100 n j Otr7L of as a n_ Ta 6?-41 cD fa-a
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/ � q f
VALUE(Including labor and all materials including light fixtures)S 7'3 cF,7 . /
MASTER ELECTRICIAN
3/02
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