HomeMy WebLinkAbout2013-Electric (bath & kitchen remodel) � CITY OF OSHKOSH No 154900
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1600 RIVER MILL RD Owner MAUREEN M STURM Create Date 04/02/2013
Contractor HULLAR ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits 3 Luminaires 6
Amps Switches Receptacles 10
Appliances
Use/Nature of SFR/BATH&KITCHEN REMODEL "'check#3414
Work
Fees: Val ion $3,400.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By• m�,� Date 04/02/2013
❑ Permit Voided� Parcel Id# 1224010000
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 a� ary appr Qfs before starting such activity.
Signature � Date 2 ���
�, y_
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 Of HK01H
� 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticipating in the Permit Fee Account Svstem and have adeauate funds check here
rf vou want this processed throu�h vour account ❑
DATE �"2 -'/)
JOB ADDRESS � 6� !�'',��r �� �l
OWNER
CONTRACTOR l-�,,, r/`rf �� �`'G'
CHECK 0 ALL APPLICABLE
US TEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ONew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# /J Circuits#�_
Phase
Amps Switches# Fixtures#�
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
�Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DES/C� RIPTION OF ALL W RK BEING DONE �3�, � � � e�• �� 4� ('t..q����
1\T 1'7/:I[i O� .L � � ' T.�Z�
VALUE(Including labor and all materials including light fixtures)$ ,S� �C�, (J,�
MASTER ELECTRICIAN ���j
—�.__
3/02