HomeMy WebLinkAbout0154695-Electric0 CITY OF OSHKOSH No 154695
OSHKOSH
ON THE WATER
Job Address 1875 BERNHEIM ST
Contractor SLIM'S ELECTRIC INC
Inspector Adam Krause
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PAUL R/CHERYL E MICHLER
Category 612 - Residential - Single Family Addition /R
Service New O Change O Temp 0 N/A
Volts Circuits
Amps Switches
Appliances i
Use /Nature of
Work
Type (_) Overhead
Create Date 03/11/2013
Plan
O Underground
Luminaires
Receptacles
FR / BATHROOM REMODEL * *check #5105
ill
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By:( Date 03/11/2013
❑ Permit Voided
Parcel Id # 1332210000
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
Address 2608 OAKWOOD CIR
Agent/Owner
OSHKOSH WI 54904 - 8466
Telephone Number (920) 426 -5249
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.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
Phone (920) 236 -5050
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.
If you are a contractor participating in the Permit Fee Account System
and have adequate funds, type YES if you want this processed through
F_
your account
DATE
JOB ADDRESS 1875 Bermheim St.
OWNER Paul & Shirley
CONTRACTOR SLIM'S ELECTRIC INC.
CHECK ALL APPLICABLE
/q /z c);3
USE CATEGORY X Single Family Duplex Multi - Family
Rental Commercial Industrial
r--
r Not
SERVICE New Temporary TYPE Overhead Applicable
Not
Change Applicable Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles
# - - -a- Circuits #
Phase
Amps Switches # - - -� Fixtures #
CHECK ALL APPLICABLE
Range Dishwasher Garbage C- Dryer Water
Disposal Heater
Fan OR F Furnace A/C Electric
Blower Sign
T Gas
Motors Pumps Other i
DESCRIPTION OF ALL WORK BEING DONE and exit fixture.
Bathroom Remodel -
VALUE (Including labor and all materials including light fixtures) $
600.00 %\
MASTER ELECTRICIAN