HomeMy WebLinkAbout0157217-Electric /�', CITY OF OSHKOSH No 157217
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 731 JACKSON ST Owner MAXIMILAN C LAUMANN Create Date 08/14/2013
Contractor FARKAS ELECTRIC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires 12
Amps 200 Switches 17 Receptacles 43
Appliances ater Heater,Dishwasher, Range, Furnace
— — --- -- _- - -- __
Use/Nature of FR/REPLACE 200AMP PANEL,ALSO MISC INTERIOR WIRING '*
Work ,
i
I ,
�
Fees: Val ion $1,500.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued B Date 08/14/2013
❑ Permit VoidedJ Parcel Id# 0500280000
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 rting such activity.
Signature Date ����
� �
AgenUOwner
Address N16W22040 JERICHO DR WAUKESHA WI 53089 -0 Telephone Number (262)522-8388
To schedule inspections please call the Inspection Request line at 236-5128 noti�g 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
Fa�c (920)236-5084 �������
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$100.00 plus the
normal permit fee, which ever is greater.
OR
1f vou are a contractor participatin� in the Permit Fee Account Svstem and have adeguate funds check here
if vou want this nrocessed through vour account ❑
DATE �l�l3
JOB ADDRESS� � ( �CC.�,��S O1�
OWNER VV�(��C �C',L(.,�.��V1�'1
CONTRACTOR �4.-I�-s �1.� ���� :
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change �Not Applicable �LJnderground :
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �a-D / �Y�7 Receptacles# �� Circuits#
Phase S►�,l�
Amps Zo o Switches# �� Fixtures# �a '
CHECK�ALL APPLICABLE
.�Range �ishwasher ❑Garbage Disposal ❑Dryer �.Water Heater
❑Fan OR Blower �(Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE I�L�I/rl� 'Loa � �r �GZ r•.�, 1�,��e � {.�
�r, rGf?1�1�i� ��I��r-ts ��. �� t,.��� �.�r�,�ti-- Pto� /r ��fx Lf .e�-�-�x k/�
�Q f c-� .��-�rcT /N��4�� G 1=�� r�c Q� G✓'^-�--e- '1—e 9 wi f.-�,� /�� l�
S W�-O G-G�(�!-C��'�_!�I'►-�.�L191'LrL6-/��
VALUE(Including labor and all materials induding light fixtures)$ �.S���
MASTER ELECTRICIAN f�tr�'^�i-. ��-�S
3/02