HomeMy WebLinkAbout0154907-Electric (add fans in bedrooms): �
/�'� CITY OF OSHKOSH rvo 154907
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1306 KNAPP ST Owner GARY M/DEBRA OTRADOVEC Create Date 04/02/2013
Contractor KAUFMANN ELECTRIC LLC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A ' Type � Overhead � Underground ,
Volts Circuits Luminaires 3
Amps _ Switches Receptacles
Appliances i — —---- — --
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Use/Nature of ,SFR/ADD FAidE�-IN BEDROOMS �'check#2153 ��
Work � FA-/VS '
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Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: � Date 04/02/2013
❑ Permit Voided I Parcel Id# 1310210000
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 se any nece a before rtin such activity.
Signature ���/ur �-- Date pS /�.J
AgenUOwner
Address 2677 INDIAN POINT RD OSHKOSH WI 54901 -9609 Telephone Number (920)232-0609 _ _
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 t�e project is ready.
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City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 O HKO H
� ON THE WATER
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 ar$100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractorparticipating in the Permit Fee Account Svstem and have adeguate funds, check here
f vou want this processed throu�h vour account ❑
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DATE /Tp/Lc�C._ � ��/�
JOB ADDRESS ���� d7��L c�.c�C�V�L
OWNER--------�_��Co ���✓Q � S�
CONTRACTOR /�(,1,���l! 4 �U N ���c���c �C�
CHECK C�1 ALL APPLICABLE
USE CATEGORY
�ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase 3
Amps Switches# Fixtures#
CHECK C�1 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�Gc�— ��- S ��� �`���tC�t S
/�, �
VALUE(Including labor and all materials including light fixtures) $ (1L�
MASTERELECTRICIAN �` �� �t� l`�7�(lf����
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