HomeMy WebLinkAbout0155846-Electric � CITY OF OSHKOSH No 155846
OSHKOSH ELECTRIC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 2852 MONTCLAIR PL Owner LORI T ANDERSON Create Date 05/24/2013
Contractor ZARDA ELECTRIC LLC Category 612-Residential-Single Family Addition/R Pian :
Inspector Adam Krause
Service New � Change 0 Temp � N/A Type � Overhead 0 Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances �
I
Use/Nature of SFR/Basement Remodel*Including full bath and a recreation room.
Work
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: �TVj/� Date 05/28/2013
❑ Permit Voided Parcel ld# 1331640000
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 s �a rovals befor ng such activity. �� �
Signature Date
AgenUOwner
Address 2000 OAKRIDGE RD NEENAH WI 54956 -2122 Telephone Number (920)475-0344
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,WI54903-1130
Phone(920)236-5050
Fa�c (920)236-5084 01HK01H
ON THE WATFR .
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I�'vou are a contractor participatin�in the Permit Fee Account Svstem and have adeguate funds, check here
�vou want this processed throu�vour account ❑
DATE � Z� �
JOB ADDRESS � �(�Q��7��//� �/GC
OWNER
/ � i
CONTRACTOR �CY� �'�/P_ C��/�/ C',
CHECK H ALL APPLICABLE
USE CATEGORY
�$ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
��j i
Volts / Receptacles# �Z/ Circuits# �
Phase
Amps Switches#�_ Fixtures# �
CHECK�f 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��j1L��,������/J� �
/��p�
VALUE(Including labor and all mat 'als' ludin ' ht fixture
MASTER ELECTRICIAN '
3/02