HomeMy WebLinkAbout0155741-Electric � CITY OF OSHKOSH No 155741
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1008 VERN AVE-EAA GROUNDS Owner Create Date 05/22/2013
Contractor FAITH TECHNOLOGIES, INC. Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A Type 0 Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
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Use/Nature of OMM/BATHROOM ADDITION FOR HANGER B '*check#982832 � ,
Work
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Fees: Valuation $17,847.60 Plan Approval $0.00 Permit Fee Paid $271.00
issued By: Date 05/22/2013
❑ Permit Voided I Parcel Id#
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
AgenVOwner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513 _
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, W154903-1130
Phone(920)236-5050
� Fax (920)236-5084 ��\�
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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 ar$100.00 plus the
normal permit fee,which ever is greater.
OR
I/�t=utt czr�.� c! cnntruct�yr ncrrticr,Lcrti��g irr tlrN /'c�rnrir F�'ce �tc�c•ni�nt S'}s���rr c�f7e;V h�n�e c�der,�t�crte ft�rrrd�s, r.1re�:k 1��:1•�
if vou want this processed through vour account ❑ _�
DATE � � ��.
JOB ADDRESS � J��' ��� ��r��� ��
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corrT�cTOR 1 � 1�i 7 � � � � MAY 212013
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CHECK C�ALL APPLICABLE DEPART11E1TOF
USE CATEGORY C0�4�tU\ITY DEVE�.OPIIEVT
iNSPECTIO� 1 ES i�' TOY
❑Single Family ❑Duplex OMulti-Family ❑Rental Commercial �n�dus�ria�
SERVICF. ❑New �Temporary TYPE ❑Overhead �Not Applicable
❑Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK W1TH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
�Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace C111iC �i � ❑Electric Sign .
OMotors �Gas Pumps �C)thcr
DESCRIPTION OF ALL WORK BEING DONE i l r l ) } ��� �..��
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�� ;r �� •, �1 i - C-,� '�� -� '-�.. ? :
_ { �
VALUE (Including labor and a iaterials includin�light fixtures)� I � ��
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MASTER ELECTRICIAN r � �
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