HomeMy WebLinkAbout0156016-Electric /�', CITY OF OSHKOSH No 156016
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1816 VINLAND ST Owner Create Date 06/04/2013
Contractor SUBURBAN ELECTRICAL ENGINEERIN� Category 631 -Residential-New Multi-Family Wiring Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 800 Switches Receptacles
Appliances
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Use/Nature of OMM/NEW CBRF **check#59631 I
Work ' :
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Fees: Valuation $187,000.00 Plan Approval $0.00 Permit Fee Paid $867.50
Issued By: Date O6/05/2013 '
❑ Permit Voided � Parcei 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
Agent/Owner
Address 709 N HICKORY FARM LN APPLETON WI 54914 -3032 Telephone Number (920)739-5156
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
Fax (920)236-5084 HK I I
� ON THE WI�TER
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 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticiDating in the Permit Fee Account Svstem and have adeguate funds check here
�f vou want this nrocessed through your account ❑
DATE
JOB ADDRESS •
OWNER S 5
CONTRACTOR �i)Yj��{'�a � ��C'�,;-`C
CHECK L�1 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ICommercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps R� Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace OA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE�S� n1r1 IC��,I� (�,`�1i`P �- I1pP'Y�
a
!'�7 �
VALUE(Including labor and all m terials including light fixtures)$ J�f /� ���
MASTER ELECTRICIAN �, � (�/�'I�d`
3/02