HomeMy WebLinkAbout0154891-Electric (generator) � CITY OF OSHKOSH �.� 0 154891 '
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD, a°R-120�� ,I
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JobAddress 1421 W NEW YORKAVE Owner STANLEY W/MARY KOTSCHI Create Date 04/01/2013
Contractor M.R.TEAS INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A i Type 0 Overhead 0 Underground ��i
Volts 120/240 Circuits Luminaires
Amps 200 Switches _ Receptacles
Appliances enerator
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Use/Nature of FR/WIRE IN NEW�NERATOR WITH TRANSFER SWITCH
Work !
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Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: ����� Date 04/01/2013
❑ Permit Voided I Parcel Id# 0506570200
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 ap tion wi in an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur n ne s provals before starting such activity.
Signature '�� � Date ��l���j
AgenUOwner
Address 7065 OODENSH E RD NEENAH WI 54956 -9747 Telephone Number (920)720-2288
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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
OlHKO.IH `
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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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee .Account Svstem and have adequate funds, check here
ifvou want this processed throu�vour account ❑
DATE �'I �/3
JOB ADDRESS �N.�f L(� �'U-2uJ �v✓�{.� v�
OWNER �
CONTRACTOR
CHECK E(ALL APPLICABLE
USE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
� SERVICE ❑New ❑Temporary � TYPE ❑Overhead �Not Applicable 3
❑Change �Not Applicable ❑Underground
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FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /�v / Z�/O Receptacles# Circuits#
Phase / (O
Amps T_ v G Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other_��e� e r,�r—� o �
DESCRIPTION OF ALL WORK BEING DONE LCJ►L� e ��J �v-e.c.c� G-e-�t -e ��a-�`v�/'
l.v i� 'r��n/�� ✓' S l.v� � -�t� �
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VALUE(Including labor and all materials including light 6xtures)$ y.�jL�-�—
MASTER ELECTRICIAN 1`/_1.� I v�kJ T`� rtn
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