HomeMy WebLinkAbout0155663-Electric � CITY OF OSHKOSH No 155663
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 206 W IRVING AVE Owner EXCEL PROPERTIES LLC C�eate Date 04/30/2013
Contractor YOURR ELECTRIC Category 633-Residential-Multi-Family Addition/Re Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of FR/Remodel interior&exterior'Full interior gut+siding
Work
i
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: _i1'✓� Date 05/15/2013
❑ Permit Voided'� Parcel Id# 1004660000
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,th City strongly urges the permit applicant to contact the easement
holder(s)and to secure ces approv e starting such activity.
Signature Date �s ��3
Agent/Owner
Address PO BOX 311 DALE WI 54931 -311 Telephone Number (920)779-6989
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 Inspecrion Services �
P.O.Box 1130 �
Oshkosh,WI54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 O �KO H
. ON THF INATFR
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 narticipating in the Permit Fee Account Svstem and have adequate funds check here
if you want this processed through vour account ❑
2��° �1 • DATE �
JOB ADDRESS � V l�
.
OWNER c��' �,.V'
,
CONTRACTOR ��.1�I� G . 1 C~�
CHECK 0 ALL APPLICABLE
USE CATEGORY ��
❑Single Family ❑Duplex ❑Multi-Family �'Rental �Commercial DIndustrial
SERVICE �New ❑Temporary TYPE �verhead ❑Not Applica.ble
OChange �Tot Applica.ble ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Votts o1� �.5E� Receptacles# �� Circuits# v
Phase
Amps /d0 Switches#�__ Fiztures# ��
CHECK�ALL APPLICABLE
t� ge fdi)ishwasher �Garbage Disposal l�yer ❑Water Heater
an OR Blower �Furnace �A/C �Electric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTI(�N OF ALL WORK BEING DONE
�Z � ���
VALUE(Including labor and sll materials including light 5atnres)��Q��
� '
MASTER ELECTRICIAN �
3/02