HomeMy WebLinkAbout0154844-Electric (service change & remodel) /t'� CITY OF OSHKOSH No 154844
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 W 9TH AVE Owner LINDAA WOKOSIN Create Date 03/26/2013
Contractor FAITH TECHNOLOGIES, INC. Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type 0 Overhead � Underground �
Volts Circuits 32 Luminaires 4
Amps 100 Switches 6 Receptacles 9
Appliances Fan or Blower,Dishwasher, Microwave
;
I�
i
,
Use/Nature of FR/UPGRADE SERVICE TO A NEW 32 CIRCUIT PANEL, KITCHEN, DINING ROOM, LIVING AND PORCH REMODEL '*check
Work 979029
I
iI ,I
I — --- - --J
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $100.60
Issued By: � )9 � � Date 03/26/2013
❑ Permit Voided Parcel Id# 0605840000
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
AgenUOwner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513 _
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 54903-1 1 30
Phone(920)236-5050 __�����
Pax (920)236-5084 �
N THE WnTFR
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
1 au ar c•ar�trr�c or artic:i utir7 � 'n th � cat nt S tenr cl ct h ti�e a e tt e nda h ck her�
�vou want this nrocessed through vour account ❑
DATE 3 °� �
JOB ADDRESS I� �� �� I 1►'L',��1�`IL, U���--�.�!`-'� S�7 O�`I
OWNF.R �-i 1ti�0. ��-oS t h :
CONTRACTOR't'w�-t'�. , 1.�..�E'` " C�{�y� '. c�/YVr(�Q�^~��
�
CHECK�ALL APPLICABLE
U�S�ATEGORY
QSin le Famil ❑Duplex OMulti-Family ❑Rental �Commercial DIndustrial
g Y
SERVICE ON �Temporary TYPE OOverhead ❑Not Applicable
hange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# � Circuits# J 2
Phase
p�ps 1� Switches#__�__ Fixtures#�_
CHECK 0 ALL APPLICABLE
❑�nge QDishwasher OGarbage Disposal �Dryer OWater Heater
QFan OR Blower ❑Furnace �A/C ❑Electric Sign
❑Motors ❑Gas Pumps C�ther��y{�u•v-�
DESCRIPTION OF ALL WORK BEING D+UNE
��Z
" ,�a � �
-- , � `, �-�i � ��.c� �- r
���Y i t 4.. �,�t�� �..� �.�
VALUE(Including labor and all materials including light fixtures)'� ��� �
MASTER ELECTRICIAN �t CC�— -' C�t-c�� '� `
� a
�'70 ��� -�- 30.� � ` �/v��. (Q o
�l`T� x c.�� �., �. _. �A' 3,az :
� _____.__ �