HomeMy WebLinkAbout0154774-Electric �
E
:
�
� � CITY OF OSHKOSH No �sa��a ��
� s
. OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 850 W 12TH AVE Owner JEFF BARTELS Create Date 03/20/2013
Contractor KAUFMANN ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A ! Type � Overhead � Underground
s
Volts Circuits Luminaires
Amps Switches __ Receptacles
Appliances - -- —— -—
I I
i
I
Use/Nature of FR/INTERIOR REPAIRS TO INCLUDE WIRING THE HOME(WORK IN ADDITION TO PERMIT#154458) '*check#2127 �,
Work � �
i
;
i
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $42.00
Issued By: �� I ��-- Date 03/20/2013
❑ Permit Voided I Parcel Id# 1303270000
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 ne/cessary approvals before starting such activity.
Signature �,`�G�� Date �— Z�—/'3
AgenUOwner
Address 2677 INDIAN POINT RD OSHKOSH _WI 54901 -9609 Telephone Number (920)232-0609 _
�
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 O HKO H
ON THF 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 vou are a contractor DarticipatinQ in the Permit Fee Account Svstem and have adeauate funds check here
if you want this Drocessed through vour account ❑
� DATE � �� f� �
JOB ADDRESS �'�.J�-� GU �� �~ ,`7 /
OWNER c1,� �K'I���L�
CONTRACTOR�./`T`����'/�� ���F'Z� �_
CHECK�ALL APPLICABLE
�US CATEGORY
ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Gazbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE !/(! //LL �Q���
VALUE(Including labor and all materials including light fixtures)� ���d- �
MASTER ELECTRICIAN �ji� �-l f`' t� L�i'�V �`Lu�Y��/�'
3/02
v� a�a�