HomeMy WebLinkAbout0154676 - Electric (remove knob/tube in attic) 0 CITY OF OSHKOSH No 154676
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 581 BOYD ST Owner DEBRA LANE Create Date 03/08/2013
Contractor ACTION ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause _
Service New O Change O Temp • N/A _1 YP 0 Overhead e O Underground
head
Volts Circuits - -
Luminaires
Amps Switches Receptacles
Appliances — —
� — I
Use/Nature of SFR/REMOVE KNOB AND TUBE IN ATTIC **check#3502
Work
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: &} LA-) Date 03/08/2013
❑ Permit Voided Parcel Id# 0405040000
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 3061 W ELBERG AVE APPLETON WI 54914_-5734 Telephone Number (920)734-4020
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
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKOJH
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE GP- qq--l 3
JOB ADDRESS tre I 'Foy ,RECEIVED
OWNERTh2.boot L col e
CONTRACTOR /t (v,4 e_C(he
MAR 0 2013
r)ES OF
CHECK El ALL APPLICABLE commu ,[T Et(PNIEN
INSPErTIC '1' ;SION
USE CATEGORY
Mingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 11 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE fi/n'° 1�V( n-'4 f vhr /H #i e--
VALUE(Including labor and all materials including light fixtures)$ /sa o�
MASTER ELECTRICIAN±A--49 I t Jk tgL ;,
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