HomeMy WebLinkAbout0154776-Electric (misc. interior) � CITY OF OSHKOSH No 154776
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 825 FREDERICK ST Owner DANIEL J/GINGER M LENZ Create Date 03/20/2013
Contractor DIERSEN ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service ' New 0 Change 0 Temp �_N/A Type � Overhead � Underground '
Volts Circuits Luminaires
Amps _ Switches Receptacles
Appliances ' - - -- ---- - — — --- i
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W�ek ature of RENTAU Installing a few receptacles in the kitchen and relocate the range receptacle, install can lights and bathroom exhaust fan. I
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Fees: Valu tion $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: �� Date 03l20/2013
❑ Permit Voided Parcel Id# 1005880000
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 ' ongly urges the permit applicant to contact the easement
holder(s)and to secure an essary ap als b starti such activity.
Signature Date �—Z-�?'�
AgenUOwner
Address 6823 OLEN TRAIL _ WINNECONNE WI 54986_-8621 Telephone Number (920)740-4875
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
Fa�c (920)236-5084 01HKO.lH
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 l 128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the '
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate fi�nds, check here
ifvou want this processed throu�vour account ❑ '
DATE �` ��� ���
JOB ADD SS ��� ' ' "`�""�►`���C /� ��
OWNER �d(� �Z
CONTRACTOR �^�-��"` ��'- �'`�
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Faralily ❑Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ,�S]Overhead ❑Not Applicable
�Change �$fNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts��J �/ Z"`�� Receptacles# Circuits#
Phase
Amps /� Switches# Fixtures#
CHECK�ALL APPLICABLE
�Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps OOther
�-- , �� _��\
DESCRIPTI N OF ALL W RK BEING DONE ���-?Sfu-x--� 3 �C�
i'`��- �a ����_ f-� �c����-e r--�,.�� c���-,L-e�f- w�'�..� 3 c 4 w s ,.;,
/�.'�-�,�
VALUE(Including labor and all materials including light fixtur ) $ ����
MASTER ELECTRICIAN `�'�
3/02