HomeMy WebLinkAbout0155367-Electric �
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� CITY OF OSHKOSH No 155367 !'
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1028 GROVE ST Owner NATHAN P/CHRISTINA M LEHNER Create Date 05/01/2013
Contractor HOULE ELECTRIC LLC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type 0 Overhead 0 Underground
Volts Circuits 1 Luminaires 2
Amps Switches 3 Receptacles 2
Appliances hirlpool tub — �,
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Use/Nature of FR/BATHROOM REMODEL **2793 I
Work
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Fees: Valua ion $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: Date 05/01/2013
❑ Permit Voided � Parcel Id# 1109830000
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 ap licatio n an easement,the City strongly u es the permit applicant to contact the easement
holder(s)and to secure y ary appro fore starting activity.
Signature Date �'/ � /�
AgenUOwner
Address 6 64 SHEA RD OSHKOSH WI 54904 -6866 Telephone Number (920)410-7220
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 Ushlcosh
Division of Inspaction Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 (1��((�ju
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ELECTRICAL PERMIT APPLICATION
All information after bold c�tegories must be provided.
Incomplete applications will not be prooessed.
• Applic�tion(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 pern�it(s)will result in fees being doubled or$100.00 plus the
nornial permit fee,which ever is greater.
OR f
If you are a contractor participating in the Permit Fee Account System and have adeguate funds check here
if vou want this processed throueh vour accoum ❑
DATE S—�— ��j
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JOB ADDRESS l Q� ��d</� �
OWNER q 4i �i � � -G`?�T �-r
CONTRACTOR , avl�. �,�C-.��. e rt C
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family �Duplex OMulti-Family ORental �Commercial DIndustrial
SERVICE ONew ❑Temporary TYPE DOverhead �Not Applicable
OChange �LNot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Recepfficles# � Circuits#�_
Phase
Amps Switches# �atarES# Z
CHECK�ALL APPLICABLE
�R�x►ge ODishwasher OGarbage Disposal �Dryer ❑Water Heater
OFan OR Blower �Furnace �A/C �E c Sign
�Motors t7Gas Pumps �Other �l ,rr �poc � ��
DESCRIPTION OF ALL WORK BEING DONE ��G� C'e �t o o% �
VALUE(ladadiag fabor and aR materiala iadad'mg li�t 5ztorea)$ � �C�_•—
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MASTER ELECTRICIAN �--�
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