HomeMy WebLinkAbout2013-Electric � CITY OF OSHKOSH No 156603
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 628 POPLAR AVE Owner 628 POPLAR AVENUE LLC Create Date 07/09/2013
Contractor JP ELECTRIC LLC _ Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances i
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Use/Nature of RES/Re-locate service&installing new wiring for remodeling project.
Work
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Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: Date 07/09/2013
� Permit Voided Parcel Id# 0801060100
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 s ure any necessary vals be starting such activity.
Signature Date �� �/ �
AgenUOwner
Address 1 15 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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 performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services �
P.O. Box I 130 �
Oshkosh,W I 54903-I I 30
Phone(920)236-5050 � �
Fax (920)?36-5084
,;h: '•.c �.vA(FF .
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
(ncomplete applications will not be processed.
• Application(s)and fee(s)can be brought to Cin Hall, Room 205 or mailed to(nspection Services, PU Box 1 128,
Oshkosh WI 54903-1 1.�.8. Commencing work without permit(s)will result in fees being doubted or$100.00 plus the
normal permit fee,which ever is greater.
OR
Jf b�ou are u contrttctor parlic'ipuling 1n 1he Permi! /-ee ,acc•nt�n! 5��.�t�m und huve udryuule func/s, rheck here
if you want this process�d 1hr�ugh vour accoun� ❑
DATE 7 " J— c3-413
JOB ADDRESS 6 0� r'� �n A l a 1"
OWNER
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CONTRACTOR �,� Q l��r� �t t��--
CHECK�ALL APPLICABLE
USE CATEGORY
�,Single Family ❑Duplea ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New �Temporan TYPE�verhead ❑Not Applicable
�hange �Not Applicable ❑Undergraund
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts (L v l ��(G Receptacles# Circuits#
Phase .
Amps �`d� Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher �Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ClFurnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE r� lfl��-� ��v L�+� � v'cw�-or���(
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VALUE(Including labor and all materials inclu ing light fixtures)$ .��'7�D.
MASTER ELECTRICIAN
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�$ja�- `'�