HomeMy WebLinkAbout0154565 - Electric (bathroom remodel0 CITY OF OSHKOSH No 154565
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1326 1328 N MAIN ST Owner MILICA Z JOVANOV Create Date 02/27/2013
Contractor HOULE ELECTRIC LLC Category 623_Residential-Duplex Addition/Remod€ Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead 0 Underground
Volts 120/240 Circuits 3 Luminaires 2
Amps Switches Receptacles 2
Appliances
1
j I
Use/Nature of DUPLEX(1328)/BATHROOM REMODEL** check#2373
Work
it
Fees: Valuation - $500.00 Plan Approval $0.00 Permit Fee Paid - $30.00
Issued By: Date 02/27/2013
❑ Permit Voidedl Parcel Id# 1504960000
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 'thin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure sa als before ing such activity.
Signature
Date —Z7 3
Agent/Owner
Address 6264 SHEA RD OSHKOSH WI 54904 -6866 Telephone Number (920)410-7220
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 oOfnsh
Division o I
on of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKOfH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
22 � L/ DATE 2-27-0
3
JOB ADDRESS / c)-3 /` 7a,
OWNER /7/ t'; /t e(
CONTRACTOR r"(cldL'
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ( Duplex ❑Multi-Family DRental ❑Commercial ❑industrial
SERVICE ONew ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / / ��� Receptacles# d - Circuits#
Phase (
Amps Switches# Fixtures# 2--
CHECK 0 ALL APPLICABLE
DRange ❑Dishwasher ❑Garbage Disposal Dryer ❑Water Heater
EiFan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE n �' � C /
VALUE(Including labor and all materials incl ing light f xtures)$ C°
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MASTER ELECTRICIAN
3/02