HomeMy WebLinkAbout0157221-Electric � CITY OF OSHKOSH No 157221
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 LAAGER LN Owner GREGORY J/CAROL J HENSEL Create Date OS/14/2013
Contractor BRENNAN, DENNIS Category 612-Residential-Single Family Addition/R Plan
inspector Adam Krause
Service New � Change 0 Temp � N/A I Type 0 Overhead 0 Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
i
�
Use/Nature of SFR/Installing lights by patio door, replacing existing outdoor lights and circuit to the garage and remodel wiring for 2nd floor bathroom.
Work
�
� ----�
Fees: Valuation $960.00 Plan Approval $0.00 Permit Fee Paid $70.00 '
Issued By: � ��,----+ Date 08/14/2013
T
❑ Permit VoidedJ Parcel Id# 1310740400
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 necess approvals before starting such activity.
Signature ,�.,, ' �,� Date 1O � �Y ��
AgenUOwner �
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
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate �'unds, check here
if vou want this processed throu�vour account ❑
DATE `d � 4 � �3
JoB Ann�ss l � � S L i� l�G.�ZrZ L N
OWNER
CONTRACTOR O �:+�N►S B�Q 1: Ntilk N
CHECK H ALL APPLICABLE
USE CATEGORY
fjJSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change J!'JNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I y a l Z�L v Receptacles# 7 Circuits# �
Phase 1
Amps 2 d a Switches# � Fixtures# ( �
CHECK H 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 :i r 3�+K, (.t-'�r s �3 Y P/�-f�-v i�a►2 ► ��P�.R�c-�
Etty Ti �� Ov�t Aoc+�. (,�T1�1 � A OA C �►2r vc T T� G MLA(,� � 12��''�a�kc. wi /L��.G
I N 2 �r� F c vr�t 13 /�T►-{ 2o c w,
VALUE (Including labor and all materials including light fixtures) $ Q b(7 � Q(�
MASTER ELECTRICIAN �.s.,..,,.� (J.�---�o-�
3/02