HomeMy WebLinkAbout0155008 - Electric (install subpanel) CITY OF OSHKOSH No 155008
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1111 MINNESOTA ST Owner CLARITY CARE INC Create Date 04/11/2013
Contractor FAITH TECHNOLOGIES, INC. Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change 0 Temp • N/A Type O Overhead O Underground
Volts Circuits 1 Luminaires
Amps Switches 1 Receptacles 2
Appliances Range,A/C, Dehumidifier
Use/Nature of SFR/INSTALL SUBPANEL NEXT TO MAIN PANEL,WIRE FOR ELECTRI CRANGE AND FOR A/C,ADD CIRCUIT FOR
Work DEHUMIDIFIER, REPAIR BROKEN RECEPTACLE,WIRING TO SWITCHES FOR HEAT VENT IN BATHROOM **check#980046
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By:ci)1,/,--) Date 04/11/2013
El Permit Voided I Parcel Id# 0903730000
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 necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 260 _ MENASHA WI 54952 -260 Telephone Number (920)738-1513
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.
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
City
Division of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
41/1°)
(!-i_i4,ii‘
Phone(920)236-5050 (""�
Fax (920)236-5084 011-(Jf-]
ON THc WATF#
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 ❑
DATE gist II
JOB ADDRESS I t k WV r1t1Q.Sc L ` ± o,Sr1,V- 5Lk
OWNER ( LLw( 2—?
CONTRACTOR 11 t '. I C. Lf 10- i Q t -C I i ASV�
CHECK 0 ALL APPLICABLE
US ATEGORY
ingle Family Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ONot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# 3 Circuits# 1
Phase t
Amps Switches# ! Fixtures#
CHECK 171.ALL APPLICABLE
QRange ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower OFurnace C j r, ❑Electric Sign
❑Motors ❑Gas Pumps D6ther ( tskvi:4 +< y
DESCRIP JION OF ALL WORK BEING DONE till g' Q-C ;.x , A., ' , L'. t1- ... 1 i; �.-r `�C
v`I- 4 a..t.... ..P:r,c e, v -' I (A)-6(.-e- -r 10, r M r C c.r c: rt `.
.. .ho od,.Ak=t e,^ .. r bbv ka.-v-- jr;.e..e.t. P e,.:. I b wv--t r'O 1, 61.01- C.L QA--)
f t
VALUE(Including labor and all materials including light fixtures) $ /0U .
_ io
MASTER ELECTRICIAN ? �'�- CSait-i-il-k- - ,,.1
3/02