HomeMy WebLinkAbout2013-Electric (addn to 149213) /�''� CITY OF OSHKOSH No 157475
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 822 W 4TH AVE Owner JAMES H EWING Create Date 07/31/2013
Contractor HEBBE ELECTRIC INC ___ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
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Service New � Change � Temp � N/A ' Type 0 Overhead � Underground
Volts 120/240 Circuits 4 Luminaires 7
Amps 100 Switches 10 Receptacles 15
Appliances Range, Dishwasher,Furnace --
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Use/Nature of SFR/SERVICE CHANGE AND REMODEL
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Work
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Fees: Valu 'on $1,800.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 08/29/2013
❑ Permit Voided I Parcel Id# 0603160000
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 per ' ap lication within an ea t,the City strongly urges the permit applicant to contact the easement
holder(s)and to se ure any ecess approvals before starting such activity.
Signature _ � Date /3
Age Owner�
Address W3798 O GREEN LAKE RD PRINCETON WI 54968 -8755 Telephone Number 920-294-3016
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.
��� � �-�Z - �t � �� �� :
/,l �ity of Oshkosh
��1� Drvision of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 01HKO.IH
ON THF WATFR
ELECTRICAL PERMIT APPLICATION :
All inforrr►ation 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 participatinP in the Permit Fee Account Svstem and have adeauate fisnds, check here
if vou want this processed through vour account ❑
DATE a 7 3 �
JOB ADDRESS �ZZ (n) - 7 � �
OWNER �� w� �+.—r t�c
CONTRACTOR �I G l. f�e h�
CHECK 0 ALL APPLICABLE
USE CATEGORY
�kSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
'�Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z� / Z�� Receptacles# �� Circuits#_�
Phase ` �
Amps `� Switches# �a Fixtures#�
CHECK�ALL APPLICABLE
�ange �Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower �QF'urnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE //Q c.cJ S o^�,'c .9 J, /'e-y► c��P �
VALUE(Including labor and all materials including light fixtures) $ ���0• �v
MASTER ELECTRICIAN a�G � �� � O
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� � 3/02