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� CITY OF OSHKOSH No 156546
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ONTHEWATER I-Iy-13 �
Job Address 3100 ELK RIDGE DR#C Owner MIDWEST GENERAL CONTRACTORS Create Date 06/21/2013
Contractor HULLAR ELECTRIC LLC ___ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � — -- �
�New_ � Change 0 Temp � N/A _J Type � Overhead_ � Underground I
Volts __ Circuits __ 6 Luminaires 10
Amps Switches _ 7 Receptacles 2p
Appliances -- —
�
�
, I
�—
— --. —. - —, �
Use/Nature of C�OMM/Basement remodel for unit C. Creating a bedroom,bathroom, living room and 2 unfinished areas for a mechanical room and
Work 'Istorage area per submitted plans. No alterations made to existing beams/supports. Bathroom will have mechanical ventilation
installed. Smoke and CO detectors will be installed. Egress window in place already. Separate electrical,plumbing and HVAC permits,
I�ill be obtained. If alterations will be made to the sprinkler system that information will be provided. All construction shall comply with i
tate and local codes.
�
Fees: Valuation _ $1,900.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By:
Date 07/03/2013
❑ Permit Voided ; Parcel Id# 1329610202
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
AgenUOwner
Address 2535 KNAPP ST _OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 othervvise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
€
� CITY OF OSHKOSH No 156546
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3100 ELK RIDGE DR Owner MIDWEST GENERAL CONTRACTORS Create Date 06/21/2013
Contractor HULLAR ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A Type � Overhead � Underground I
Volts Circuits 6 Luminaires 10
Amps Switches 7 Receptacles 20
Appliances
Use/Nature of COMM/Basement remodel for unit C. Creating a bedroom, bathroom,living room and 2 unfinished areas for a mechanical room and
Work storage area per submitted plans. No alterations made to existing beams/supports. Bathroom will have mechanical ventilation
installed. Smoke and CO detectors will be installed. Egress window in place already. Separate electrical,plumbing and HVAC permits
ill be obtained. If alterations will be made to the sprinkler system that information will be provided. All construction shall comply with
State and local codes.
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: '1y/1,� Date 07/03/2013
❑ Permit Voided� Parcel Id# 1329610202
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 ssary a vals before starting such activity.
Signature Date �^�—�/ �
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 i�spection 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
Faac (920)236-5o84 O.lHKO.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
If you are a contractor participating in the Permit Fee .Account Svstem and have adequate fi�nds, check here
�vou want this p�•ocessed throu�vour account ❑
DATE / ".�`-'� �
JOB ADDRESS .� I b J C ��('�o�w
OWNER
CONTRACTOR�I l.�-/ �/z��ri�
CHECK 0 ALL APPLICABLE ;
USF�-CATEGORY
C�Smgle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change I�ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 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
DESCRIPTION OF ALL WORK BEING DONE Uc.�t Nl �a b �r �'1� � �
VALUE(Including labor and ali materials including light ixtures) $ � l��2f C�
MASTER ELECTRICIAN !
3/02