HomeMy WebLinkAbout0155368-Electric �
. /�', CITY OF OSHKOSH No 155368 �
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1315 MORGAN AVE Owner STEVEN R HABERKORN Create Date 04/09/2013
Contractor HOULE ELECTRIC LLC Category 612-Residential-Single FamilyAddition/R Plan
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Inspector Adam Krause
Service New 0 Change 0 Temp � N/A Type � Overhead � Underground
Vo�� Circuits 2 Luminaires 3
Amps Switches 4 Receptacles 6
Appliances
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Use/Nature of FR1 Sunroom addtrion according to attached site plans and engineering. "check#2793
Work
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: � Date 05/01/2013
❑ Permit Voided I Parcel Id# 1226630000
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 applicatio ithin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure a n sary als before in activity.
Signature Date �� � '— ��
AgenUOwner
Address 6264 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 Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.lHKO.IH
� ON THF WATFR
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 vou are a contractor narticioatinQ in the Permit Fee Account Svstem and have adeauate firnds check here
If vou want this processed through vour account ❑
�� � S r�a � 4 �U e DATE �� � — � �
JOB ADDRESS
OWNER � � cJ e �a ,�C' cz!`/.�
CONTRACTOR Q U t Gl-e�`l��G ,_L_�i2 G
CHECK 0 ALL APPLICABLE
USE CATEGORY
,�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �(Not Applicable .
❑Change �INot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# � Circuits# �'
Phase �/' 3
Amps Switches# "t Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace �A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other :
DESCRIPTION OF ALL WORK BEING DONE �u� �oO'�2
VALUE(Including labor and all materials i luding light fixtures $ 10��!� ^
MASTER ELECTRICIAN G �
3/02