HomeMy WebLinkAbout0156310-Electric (misc. interior, garage addition) � CITY OF OSHKOSH No 156310
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3095 HUNTERS PL Owner BENJAMIN O/RUBY A BLOOM Create Date 01/18/2013
Contractor LUXURY ELECTRIC LLC _ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A _J Type � Overhead 0 Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Garage addition and removing existing 3 season porch and rebuilding 4 season porch-all work to meet current code
Work requirements
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: �,I ��� Date O6/20/2013
❑ Permit Voided l Parcei ld# 1342610000
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 sec�any necessary ap before starting such activity.
Signature / � Date / J —/�
(� o�
AgenUOwner
Address 6071 SPRINGBROOK RD OMRO WI 54963 -8227 Telephone Number (920)685-6270 :
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,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKOf H
ON THF WATFR -
ELECTRICAL PERMIT APPLICATION :
All inforrr►ation 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate,fitnds, check here
if vou want this processed throu�vour account ❑
DATE C9 —Zv "a1`'� �
JOB ADDRESS � � `� � �l`���°yr S ���� rt'
OWNER ,��e n�.r"S 1`�" �� f S
CONTRACTOR �,x�c, T �( 4-��`' L
CHECK H ALL APPLICABLE
�U E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# /t� Circuits# —3
Phase
Amps Switches# � Fixtures# ;
CHECK�f ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE s4 n l�u�.-� .� �it��s P /����ak-
VALUE(Including labor and all materiais including light fixtures)$ /, ,Q��- �
MASTER ELECTRICIAN i�� f"yG'�
3/02
��