HomeMy WebLinkAbout0156213-Electric � CITY OF OSHKOSH No 156213
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 06/17/2013
Contractor JK ELECTRIC Category 633-Residential-Multi-Family Addition/Re Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuitsl _ 3 Luminaires 3
Amps Switches 4 Receptacles 4
Appliances Range,Dishwasher,Garbage Disposal, Dryer
�
Use/Nature of MULTI-FAMILY/KITCHEN REMODELS FOR UNITS 255 AND 142 **check#1980
Work
i
Fees: Valu 'on $1,400.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: W Date O6/17/2013
❑ Permit Voided!i Parcel Id# 0611430300
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 secur an ecess ry pro s before starting such activity.
Signature Date — �/
AgenUOwner
Address E9102 MANSKE RD NEW LONDON WI 54961 -8938 Telephone Number (920)982-7848 '
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 specifed 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 54903-1 L;0
Phone(920)236-5050
Fax (920)236-5084 OlHKO.IH
ON THF 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$100.00 plus the
normal permit fee,which ever is greater.
OR
1T vou are a contractor narticinatinQ in the Permit Fee Account Svstem and have adeauate fisnds check here
ifvou want this nrocessed throu�vour account ❑
DATE �7/ �_
JOB ADDRESS 2�'�_IL�1 fe,-�-t�e �
OWNER 1���L,��,-� �y�,-a�4 :
CONTRACTOR -) k, �J�G�('i C.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex �1Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# / Circuits#_�•�
Phase
Amps Switches# Fixtures#_�
CHECK�ALL APPLICABLE
�Range l�Dishwasher �JGarbage Disposal �IDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION O ALL WORK BEING DONE ���^P�„c� I � ✓�
uh : S a5�s �y�
VALUE(Including labor and all materials including light fixtures)$ �y�`I��
MASTER ELECTRICIAN � a �a� �c1,vIL.
3/02