HomeMy WebLinkAbout0154719 - Electric (Kitchen and Dining remodel) el) CITY OF OSHKOSH No 154719
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1150 LAAGER LN Owner GARY J/CYNTHIA L KRUG Create Date 03/14/2013
Contractor ZERNZACH ENTERPRISES LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0-New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 120/240 Circuits 5 Luminaires 7
Amps - 200 Switches 5 Receptacles 12
Appliances Fan or Blower, Dishwasher
Use/Nature of SFR/KITCHEN AND DINING ROOM REMODEL **check#1318
Work
Fees: Valu • n $1,400.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 03/14/2013
Permit Voided Parcel Id# 1310600000
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 sec ny necessary approvals before starting such activity. /
Signature Date / c--/
Agent/Owner
Address W4132 BIGHORN DR REDGRANITE WI 54970_-7284 Telephone Number (920)427-3316 __
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 WI
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 0/1-1KOfH
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 54903-1 128. 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 J-
JOB ADDRESS 1 J L Q y
OWNER
CONTRACTOR 2e.Tnm-0.U.- L f" >-e_ C-
CHECK® ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead IRNot Applicable
❑Change 119Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /av /a yo Receptacles# /d Circuits# L
Phase / --7
Amps . 0(-)C4- Switches# Fixtures#, /
CHECK ALL APPLICAB
ishwasher 0 Garbage Disposal ❑Dryer ❑Water Heater
an OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther t� L /�
DESCRIPTION OF ALL WORK BEING DONE K+C-Lie- d �l(7i\2e, jOo/t1 C�-c c
PiCrliocIe___
�9u
VALUE(Including labor and all materials including light futures) $ eEsfi r 4-")(o
MASTER ELECTRICIA z �
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