HomeMy WebLinkAbout0156280-Electric (new service) /�"� CITY OF OSHKOSH No 156280
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3778 GLENBROOK LN Owner JAMES RADFORD/MARIE LESNICK Create Date O6/18/2013
Contractor M.R.TEAS INC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A Type � Overhead � Underground
Voits 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances ',
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Use/Nature of OBILE HOME/NEW SERVICE
Work I
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Fees: Valuation $500.00 Pian Approval $0.00 Permit Fee Paid $30.00
Issued By: ��� Date 06/18/2013
❑ Permit Voided I Parcel Id#
In the performance of this work I agree to p rform all ork pursuant to rules governing the described construction.
While the City of Oshkosh has no autho' to enfor easement restrictions of which it is not a party,if you perform the work
described in this p it ap ic n wi n an eas e t,the City strongly urges the permit applicant to contact the easement
holder(s)and to ecure�an ces pro ore starting such activity.
Signature --i� Date --' Q �
genUOwner
Address 7065 WOOD SHOE RD NEENAH WI 54956 -9747 Telephone Number (920)720-2288 _ __
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 speci�ed 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 Osl�kosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 Of HKOlH
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 wark without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifyou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here '
ifvou want this processed through vour account ❑
DATE � ^��' � ��
JOB ADDRESS �1�� G (-P✓� 1,y v c��
OWNER__����j ����(,c�p I y�
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CONTRACTOR�� c �, ��}��' K)C
CHECK E(ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE�New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Z.p / Z'�U Receptacles# Circuits#
Phase
Amps �(��� Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C /' �/ ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other–1��) /�� 1.��►�,t�
DESCRIPTION OF ALL WORK BEING DONE� '� 1v`t ls�O ��;1 be�1•-( , ��/Pc_�/'/�
VALUE(Including labor and all materials including light fixtures)$ 50 O°`— '
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MASTER ELECTRICIAN
3/02