HomeMy WebLinkAbout2013-Electric (knob/tube in attic) CITY OF OSHKOSH No 154674
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1011 SCHOOLAVE Owner LISE MAY Create Date 03/08/2013
Contractor ACTION ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0—New 0 Change 0 Temp • N/A J Type 0 Overhead Q Underground
Volts - Circuits _ Luminaires
Amps Switches
_ Receptacles
—
Appliances -
Use/Nature of SFR/KNO6AND TUBE IN ATTIC "check#3502
Work
Fees: Valuation �y�I $580.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: C') I ! !V�/ Date 03/08/2013
❑ Permit Voided Parcel Id# 0204150000
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 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑ n
DATE vim' ' /5— /
JOB ADDRESS
OWNER
di/ ii-L),-)/ /ACC RECEIVED
CONTRACTOR /9e.&///1 G/cc 4 c MAR 0 8 2013
CHECK El ALL APPLICABLE
COMM UN;", `r.l r-fLaP:N9EVT
USE CATEGORY INSPECTi w : .;;>iCES DIVISION
DISingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE [New ['Temporary TYPE ['Overhead ❑Not Applicable
['Change ['Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange DDishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE , / T-i :/A ' sit A// C
VALUE (Including labor and all materials including light fixtures)$ 316
MASTER ELECTRICIAN CJ4 �l I fa St Ya ) /F y" - 3/02