HomeMy WebLinkAbout0155269 - Electric (panel change) 0 CITY OF OSHKOSH No 155269
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 852 VINE AVE Owner DENNIS/TERESSA AERTS JR Create Date 04/26/2013
Contractor LUXURY ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Panel change.
Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: )L`- Date 04/26/2013
❑ Permit Voided Parcel Id# 0503190000
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 sec tfiy necessa provals before starting such activity. (�
Signature /4,..--7 /- A1`7 Date / °6% a/3
Agent/Owner
Address 6071 SPRINGBROOK RD OMRO WI 54963_-8227 Telephone Number (920)685-6270
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- Inspection Services Division-Electrical Permit Application Page 1 of 2
Division of Inspection Services
CJ _//// Of 215 Church Avenue
P.O. Box 1130
Oshkosh,WI 54903-1130
Fax
f Phone(920)(920)236-5084 236-5050
C
ELECTRICAL PERMIT APPLICATION
All information with * next to it 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.
If you are a contractor oarticioatina in the Permit Fee Account System and have adequate funds, tvoe YES if
you want this processed through your account
*30B ADDRESS U 5 ot- `-'r `t 'e .5-7
*OWNER
*CONTRACTOR 2[A.vi.er y A7e.k._) -d � I'.
*USE CATEGORY
Single Family Duplex Multi-Family Rental Commercial Industrial
*SERVICE
New 'Temporary 'Change Not Applicable
,14;CA Z't A 7 -
*TYPE
A'Overhead Not Applicable Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /;74)/,,2, Circuits
Phase
c/o).� .
Amps Switches Fixtures
I CHECK ALL APPLICABLE
http://www_ci.oshkosh.wi.us/Community_Developmentllnspection Services/PermitApp Electrical.aspx 4/26/2013
City of Oshkosh-Inspection Services Division- Electrical Permit Application Page 2 of 2
U Range ❑Dishwasher Garbage Disposal _Dryer
Water Heater ❑Fan OR Blower ❑Furnace ❑A/C
❑Electric Sign ❑Motors I I Gas Pump Other
*DESCRIPTION OF ALL WORK BEING DONE
/ 4J7X 6 e
*VALUE (Including labor and all materials including light fixtures)
IO40. 60
*MA ER ELEC7IC IAN
Submit } Reset
http://www.ci.oshkosh.wi.us/Community_Development/Inspection Services/Permit App_Electrical.aspx 4/26/2013