HomeMy WebLinkAbout2013-Electric (bathroom remosel) l CITY OF OSHKOSH No 155024
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2899 RUSCHFIELD DR Owner RANDY P CAMPBELL Create Date 04/01/2013
Contractor THUNDER ELECTRICAL SERVICES LLC Category 612-Residential-Single Family Addition/R Plan _
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 120/0240 Circuits 2 Luminaires 5
Amps 100 Switches 4 Receptacles 3
Appliances
Use/Nature of SFR(LATE PERMIT)/BATHROOM REMODEL TO INCLUDE TURNING 2 BATHROOMS INTO 1 BATHROOM AND 1 CLOSET
Work **check#1577
•
Fees: Valu ion $1,000.00 Plan Approval $0.00 Permit Fee Paid $170.00
Issued By: (AJ Date 04/12/2013
Ei Permit Voided Parcel Id# 1340680000
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 ermit application ithin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to cure an ece ary approvals before starting such activity. L/
Signature %✓ L Date r )7 i3
Agent/Owner
Address N6923 ALLIE JO CT SEYMOUR WI 54165 -8470 Telephone Number (920)716-2767
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.
'RECEIVED
City Oshkosh
Division of Inspection Services APR 0 2 2 013
P.O.Box 1130
O
(11-)
shkosh,WI 54903-1130
Phone(920)236-5050 +)Ei'A,Z'!'NIENT OF
Fax (920)236-5084 COJMMUN1TY DEVELOPMENT Of—KOf H
INSPECTION SERVICES DIVISION rri'z
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 5100.00 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 3 - 13
JOB ADDRESS Z 8°IC l\L)SC\.\
OWNER ?e,,- Ge.o4)Sky
CONTRACTOR I Voc er cc,) S&r I ce S LL(
CHECK Er ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead I'�Not Applicable
❑Change I9Not Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I Z 0 / Z ya Receptacles# 3 Circuits#
Phase l_ u
Amps 1(. (3 Switches# [ Fixtures#
CHECK 17l ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace El A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Bo c or rtt' c)e 1, IOrnins Z ba}l+s o
1 b4.th a' Ci C_IU SP
VALUE(Including labor and all materials including light fixtures)ft 00-6
MASTER ELECTRICIAN G fey 4-V\ q g556 q Z0-716 -Z76`7
3/02