HomeMy WebLinkAbout0155484-Electric (tub) �
/�', CITY OF OSHKOSH No 155484
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1262 W 18TH AVE Owner FREDIN FAMILY REV LIVING TRUST Create Date 04/23/2013
Contractor J KRUEGER INVESTMENTS Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A � Type � Overhead � Underground I
Volts 120 Circuits 2 Luminaires
Amps 20 Switches Receptacles
Appliances alk-in tub unit �
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Use/Nature of FR(LATE PERMIT)/installation of a new outlet and 2 circuits for the walk in tub unit "check#1409
Work
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Fees: Valuation $200.00 Pian Approval $0.00 PermitFee Paid $30.00
Issued By: �(r,.J Date 05/07/2013
� Permit Voided � Parcel Id# 1307310201
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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
AgenUOwner
Address 522 WISCONSIN ST REDGRANITE WI 54970 -9363 Telephone Number (920)765-1417
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.
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City of Oshkosh , �D �
Division of Inspection Services ; �
P.O.Box 1130 ' �
Oshkosh,WI 54903-1130 MAY 0 6 2013
Phone(920)236-5050 ;
Fax (920)236-5084 DE�a��t.r.ME:�rs,F K
COMMUl3TY AEVE1.��w�1EVT ON THF W/�TFR
ELECTRICAL PERMIT�►��°��R`�1�'soov
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
I�vou are a contractor participating in the Permit Fee Account Svstem and have adeguate furrds. check here
if vou want this processed through vour account ❑
DATE �"��� �
JOB ADDRESS /��� (,^� I���v�
OWNER .i�c�r���;,1 F��c�(;✓�
CONTRACTOR ��c� t'Cf��5�;' � �ec�T���.
CHECK 0 ALL APPLICABLE
�E CATEGORY
ingle Family ❑Duplex �Iulti-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �.�� Receptacles# Circuits# c.�_
Phase
Amps �O Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range �Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
�Fan OR Blower �Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other �,.�F,�I�-�..-���
DESCRIPTION OF ALL WORK BEING DONE -c�- C��/'�.v�`�S +�r G.��I�-��n �'J�
VALUE(Including labor and all materials including light fixtures)�O d
MASTER ELECTRICIAN
3/02