HomeMy WebLinkAbout0155070 - Electric (wiring for basement) 0 CITY OF OSHKOSH No 155070
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1013 N LARK ST Owner BERNARD L SORENSON SR REV LIVING Create Date 04/16/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/ Wiring for basement bathroom
Work
Fees: Valuation $975.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: Date 04/16/2013
E Permit Voided Parcel Id# 1602410000
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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number (920)722-2642
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.
APR-16-2013 01:11P FROM:DRUCKS PLUMBING (920)722-0651 TO:2365084 P.2
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903.1130
Phone(920)236-5050 YE�
Fax (920)236-5084 0', :
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 permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
if you are a contractor participating in the Permit Fee Account System and have ads a funds, check here.
if you want this processed through your account ❑ -v,
r DATE 49
JOB ADDRESS `0/3 . /AdL �-1 •
OWNER. „ZErf—NliL, 6DtG4 /`i'
CONTRACTOR )Qt kS 5U/1
CHECK®ALL APPLICABLE
USE CATEGORY
■Single Family []Duplex °Multi-Family ❑Rental (]Commercial []Industrial
SERVICE °New °Temporary TYPE °Overhead SNot Applicable
°Change 1111Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles# 7 Circuits# Z
Phase
Amps /00 Switches#i 4- Fixtures#
CHECK ®ALL APPLICABLE
❑Range °Dishwasher °Garbage Disposal . °Dryer °Water Heater
■Fan OR Blower °Furnace ❑A/C °Electric Sign
OMotors °Gas Pumps ElOther
DES( ON OF .LL WORK BEING DO '�L —* it �' i /AL_._.�
l LSAI. r t4
VALUE(Including labor and all mit is i ludl ght stares)$
MASTER ELECTRICIAN_ r iNir k . '4 J4 6-
n Ott*
3/02