HomeMy WebLinkAbout0154992 - Electric CITY OF OSHKOSH No 154992
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 725 W SOUTH PARK AVE Owner JAMES V JUNGWIRTH Create Date 04/09/2013
Contractor YOURR ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Kitchen&Bathroom remodel*Bathroom-gutting bathroom and closing in window and creating tub surround-Kitchen replacing
Work cabinets and countertops(no walls being opened).
Fees: Valuation $2,750.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: Date 04/10/2013
❑ Permit Voided Parcel Id# 1304900000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 secu •y n_cess- appr•vals before starting such activity.
Signature / Date `7
Agent/Owner
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.
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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 you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑ r, r •
DATE `.I I(—
JOB ADDRESS 5 C Jo+ iLA <
OWNER
CONTRACTOR .1 . E nog/ L_a C-
CHECK 0 ALL APPLICABLE
U.SEE ATEGORY
[Single Family ❑Duplex ❑Multi-Family [Mental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE %Overhead [Not Applicable
❑Change ANot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,PO / 2y D Receptacles# /e9 Circuits#
Phase /
Amps /OD Switches# Fixtures# b
CHECK EI ALL APPLICABLE
ORange OrDishwasher Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower OFurnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other n
DESCRIPTION OF ALL WORK BEING DONE T 14=1.11 1 S �6 C.
VALUE(Including labor and all materials including light fixtures) s D750,00
50100
MASTER ELECTRICIAN 1.
3/02