HomeMy WebLinkAbout0154947-Electric (remodel kitchen, laundry/bath) �
� CITY OF OSHKOSH No 154947
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 929 EASTMAN ST Owner KJM CAROLINE LLC Create Date 04/04/2013
Contractor YOURR ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of 'SFR/REMODEL KITCHEN,LAUNDRY/BATH "check#4196
Work
I
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ��,J Date 04/04/2013
❑ Permit Voided'i Parcel Id# 1002350000
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 ure ecessary approva efore rting such activity.
Signature Date
AgenUOwner
Address PO BOX 311 DALE WI 54931 -311 Telephone Number (920)779-6989
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.
i
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Q�HK�H
ON THF WATFR
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applicarions 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throuQh your account ❑
DATE 3
JOB ADDRESS aC �
OWNER S
CONTRACTOR V �� �-
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family �ental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ONot Applicable �Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits# �
Phase
Amps Switches# Fiztures#�_
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Gazbage Disposal .��fryer ❑Water Heater
❑Fan OR Blower �rnace ❑A/C ❑Electric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING ON ��� ��- `�-
L�.��o�1
VALUE(Inclading labor and all materials includin light fiatures)$ �`���V
/
MASTER ELECTRICIAN '
3/02