HomeMy WebLinkAbout0155429-Electric (relocate switches) � CITY OF OSHKOSH No 155429
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1350 BISMARCK AVE Owner JEFFREY UNANCY L COTTRELL Create Date 04/25/2013
Contractor SLIM'S ELECTRIC INC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances '
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Use/Nature of FR/MOVE WIRES FOR NEW HEADER AND RELOCATE SWITCHES **check#5124
Work
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By:� Date 05/04/2013
❑ Permit Voided � Parcel Id# 0611650000
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 2608 OAKWOOD CIR OSHKOSH WI 54904 -8466 Telephone Number (920)426-5249
To schedule inspections please call the Inspection Request line at 236-5728 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 othervvise,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.
Division of Inspection Services
215 Church Avenue
P.O. Box ll30
Oshkosh, WI 54903-1130
Fax (920) 236-5064
Phone (920) 236-5050
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.
If you are a contractor partici atin in the Permit Fee Account System
and have ade uate funds, t e YES if ou want this rocessed throu h
a
your account f
DATE 05/O1/2013
JOB ADDRESS 1350 Bismark St
OWNER
CONTRACTOR SLIM'S ELECTRIC INC.
CHECR ALL APPLICABLE
USE CATEGORY R Single Family Duplex Multi-Family
;. _
Rental Commercial Industrial
� New � Tem or � Not
SERVICE � p ary T�E p�,erhead Applicable
� Not
Change Applicable Underground
FILL IN THE APPROPRIATE BLANR WITH THE NUI�ER
Volts Receptacle# !--�� Circuits# �—
Phase
Amps Switches# �--_�� Fiztures# ��-
CHECR ALL APPLICABLE
s-
i Range � Dishwasher . Garbage i� Dryer �^ Water
Disposal Heater
'� Fan OR r Furnace r p/C f Electric
Blower Sign
r
{ Motors pumpas Other '
DESCRIPTION OF AI,I� WORR BEING DONE VALUE.
(Including labor and all materials including light fixtures)
Move wires for new head and relocate switc es. $ 500. 00
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MASTER ELECTRICIAN I �