HomeMy WebLinkAbout0155765-Electric (remove knob & tube) s
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� CITY OF OSHKOSH No 155765
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1201 CEAPE AVE Owner 1201 CEAPE LLC Create Date 05/22/2013
Contrector ACTION ELECTRIC Category 623-Residential-DuplexAddition/Remode Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Voits Circuits
__ Luminaires
Amps Switches Receptacles
Appliances — ,
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Use/Nature of DUPLEX/KNOB 8�TUBE REMDOEL EXTERIOR WALLS '*check#3411 �
Work
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Fees: Valuation $800.00 Plan Approvai $0.00 Permit Fee Paid $54.00
Issued By: ��) Date 05/22/2013
❑ Permit Voided I Parcel Id# 0804700000
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
Agent/Owner
Address 3061 W ELBERG AVE APPLETON WI 54914 -5734 Telephone Number (920)734-4020
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 � HK I--I
ON THF WATER
ELECTRICAL PERMIT APPLICATION s� �+-
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
ifvou want this processed through your account ❑
DATE S���� /�
JOB ADDRESS__J�O l �- lav ( � (�Q{�v� �e
OWNER RECEIVED
CONTRACTOR IQ ����� � I e c�ric. MAY 2 2 2013
CHECK 0 ALL APPLICABLE
�EP�RT�i�l7�OF
C0�1�iUV1'I'�'DE�'EP.OP>IEVT
USE CATEGORY INSPECTIl3��F_R�'ICES DI\'ISIOr
❑Single Family [�plex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fiztures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ,��rcvL f- �/�L�-e ��C,—w v!a/ e,��. v.- W,�-71,J
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VALUE(Including labor and all materials includin light fixtures)$ �
MASTER ELECTRICIAN ��� y�/
3/02