HomeMy WebLinkAbout0154899-Electric �
� CITY OF OSHKOSH No 154899
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 109 E SMITH AVE Owner JARROD HARVEY Create Date 01/30/2012
Contractor HULLAR ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New 0 Change � Temp � N/A Type � Overhead � Underground
Volts Circuits 5 Luminaires 10
Amps Switches 15 Receptacles 30
Appliances
Use/Nature of SFR/HOUSE REMODEL ""check#3414
Work
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: Date 04/02/2013
❑ Permit Voided�i Parcel Id# 1515790000
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 ary a rovals before sta ' g ch activity.
Signature Date �- ^Z-��
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
Inspectio�(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Uniess 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 O.IHK01H
Fax (920)236-5084
� 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 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 participatin� in the Permit Fee Account Svstem ati�d have adeguate fitnds, check here
�youu want this processed through vour account ❑
DATE 7 Z -'��
JOB ADDRESS I U� I� S ,n ,'t( S �-z,:.�
OWNER J rr�� 17� ���
CONTRACTOR /�1�4 `�,� �l E�f �
CHECK Lf ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE C�1ew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#�_ Circuits#��
Phase
Amps Switches# /1 Fixtures#�c�
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE_ 17 o u�L �\r.�.�� L !
�
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VALUE(Including labor and all materials including light fixtures) $ 3 ���i(,J
MASTER ELECTRICIAN �%�%��j
3/02