HomeMy WebLinkAbout0154566 - Electric (bath fan/add receptacle) 0 CITY OF OSHKOSH No 154566
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 809 GRACELAND DR Owner BARBARA E SITTER/L M REPENSHEK Create Date 02/27/2013
Contractor MASTER ELECTRICAL SERVICES LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/REPLACE BATH FAN/LIGHT AND ADD RECEPTACLE **check#34291
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By:
Date 02/27/2013
Permit Voided I Parcel Id# 0617270000
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 1913 MILL ST NEW LONDON WI 54961 -2188 Telephone Number (920)982-6467
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
Fax (920)236-5084 .TJ�l.�
1 1
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 Svstenr and have adequate funds. check here
if you want this processed through your account ❑
So DATE a } 6-f 3
JOB ADDRESS 0 o'J C-✓e K
OWNER L 'Re_K1\5hCK
CONTRACTOR e• k YYl CC-fer El ecf ri cu j Ser c,es L Lc
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE Mew ❑Temporary TYPE ❑Overhead I Tot Applicable
OChange 511sTot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# I Circuits#
Phase
Amps Switches# _ Fixtures#
CHECK la ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal • ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF /ALL WORK BEING DONE
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VALUE(Including labor and all materials including light fixtures)S LO2
MASTER ELECTRICIAN Ni ‘kg'f g)-
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