HomeMy WebLinkAbout0156639-Electric � CITY OF OSHKOSH No �sss3s
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 07/11/2013
Contractor JK ELECTRIC Category 643-Commercial-Addition/Remodels Pla�
Inspector Adam Krause
Service New � Change � Temp � N/A I Type 0 Overhead � Underground �
Volts Circuits 4 Luminaires 8
Amps Switches 15 Receptacles 20
Appliances
I
Use/Nature of COMM/wire unit 128&130 together to make a grand suite
Work
�'ck#1991*"
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Fees: Valuation $3,000.00 Plan Approval $0.00 Pertnit Fee Paid $104.00
Issued By: � Date 07l11/2013
❑ Permit Voided, 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 pli tion within a as ent,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur y n cessary app val ef e starting such activity.
Signature Date � /
AgenUOwner
Address E9102 NSKE 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 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 54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 O.IHKOf H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate firnds, check here
if vou want this processed throu�vour account ❑
DATE � ��
JOB ADDRESS Zf�/z� � G`��Si"�e I�
OWNER �o�C'►-r�-C� �2sr�cf L��,i�r �13n-PS
CONTRACTOR J l� ��e C���
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#� Circuits#_�
Phase
Amps Switches# � � Fixtures#�
CHECK�ALL APPLICABLE
�Range L`�Dishwasher �arbage Disposal �bryer ❑Water Heater
Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
�
DESCRIPTION OF ALL ORK BEING DONE 1,��i�'C (�h� ��R 'Z /.3C�
ti � �
�/ .�.
VALUE(Including labor and all material 'ncluding light fixtures)$ �1��C7 :
MASTER ELECTRICIAN
3/02