HomeMy WebLinkAbout2013-Electric /�`� CITY OF OSHKOSH No 155589
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1369 WASHINGTON AVE Owner PATRICK F HUGHESlS M ANDERSON Create Date 05/13/2013
Contractor T RUCK ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground � ,
Volts Circuits Luminaires
Amps Switches _ Receptacles
Appliances
_
Use/Nature of SFR\Bath remodel
Work
:
- �
Fees: Valuation $700.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �_C� Date 05/13/2013
❑ Permit Voided'i Parcel ld# 0203750000
In the performance of this work I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Uivision of Inspection::ervices
P.O. Box 1130 ' �
Oshkosh,t�'I �49U?-1 I30 �
Phone (920)236-SQ�O
Faa (92G)23ti-SOEd
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ELEGTRICAL PERMIT APPLICATION
All inforn�ation after bold categories must be provided.
Incomplete applications witl not be processeci.
� Application(s) and fee(s) ean be broueht to City Hall,Room 205 or mailed to Inspection Sen�ices. P(�Bos ? ���,
Oshkosh WI 549J3-1128. Commencing work without permit(s) will result in fees being doubled ar$i OO.Ou pius ti��
norrnai permit fee, which ever is greater.
OR
ff ti�ou are a contractor �articipatrnQ in the Permit Fee Account Svstem and have ade�uate t�rnds c�e k � �
if vau want this Urocessed through vn:rr account � �
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soB Av�xESS_-T�� ������'����
OR'NER -
CUNTRACTOR�_ _ ` .-._� C�
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CHECK H A'LL APPLICABLE
L��S�E�ATEG�RI'
[9�Single Family ❑Duplex OMulti-�amilv p
, Rental ❑Commercial ❑Industna?
SERVICE ❑New DTe�porary Tlr`PE ❑Overhead �"o�Applicabie
❑Change 0'�AppIicable ❑Under�-ound
FiLL IN THE APPROPRIATE BLANK WITH THE I�iUh1BER
t'olts / _ Receptacles # Circuits# (
Phase
Amps S���itches #__ 2 Fixtures #�_�
C�iECK H ALL APPLICAI3LE
�OR e C7Distawasher ❑Garbage Disposal ODryer L7Waier Heate;
UK Blower ❑Furnace ❑���,
❑Electric Sign
❑Motors �Gas Pumps ❑Other
DESCRIPTION OF A1,L WORK BEING llUNE_����__�����ll�,q�
�
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�'ALUE (Including 4abor and all �ater Is inciuding fight ���
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il�IASTER ELECTRICIAN '�
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