HomeMy WebLinkAbout0156768-Electric (basement remodel) � CITY OF OSHKOSH No �ss�ss
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 216 W SOUTH PARK AVE Owner ST JUDE THE APOSTLE PARISH CORP Create Date 07/18/2013
Contractor BRENNAN,DENNIS Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service j� New � Change � Temp � N/A Type 0 Overhead � Underground
Volts 120/208 Circuits 2 Luminaires 12
Amps ____ 200 Switches 2 Receptacles 1
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Appliances � — -- _ . _ _-- — `
I
Use/Nature of OMM/INSTALL RECESSED LIGHTING,WIRING FOR FLAT SCREEN IN BASEMENT BATHERING ROOM '*check#2182 1
Work
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Fees: Valuation $1,235.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ��� ------ -- --- Date 07/18/2013
❑ Permit Voided I Parcel Id# 0901430000
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 cure any neces,�ary approvals before starting such activity.
Signature ��,,.. �%f,.,v� Date � � f 3
Agent/Owner
Address 1423 RAINBOW DR _ OSHKOSH WI 54902 -2648 Telephone Number (920)232-7237
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 O HKO H
ON THE WATER �
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
Ifyou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
i,�you want this processed throu�vour account ❑
DATE �7 I � f 3
JOB ADDRESS Z � � �►, S tl v T1� Y �n``
OWNER ST ,�v0� T���� RPo�}T��. �f�s �}
CONTRACTOR � �N N�J � ��NN Ij'/tl
CHECK B(ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental I�1Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change mNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 128 / 2d� Receptacles# 1 Circuits# Z
Phase r
Amps ZOd Switches# 2 Fixtures# f 2
CHECK C�1 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 .Tn�s -��4i.� n,tic�t�S�,y C�6��1-�'i N6-
lk tiq 1nr � iR.i ^-{� I—r/� �c I�7 SC 2��,� J N �j !�S{=n�t.t�-T�
G I�T� �l'�i�-t�- �orJ rh
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VALUE(Including labor and all materials including light fixtures) $ � ��- 3 y , =
MASTER ELECTRICIAN � �-.� �.�-��
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