HomeMy WebLinkAbout0157381-Electric (service) /�"� CITY OF OSHKOSH No 157381
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 532 OTTER AVE Owner KEVIN B DAWSON/JENNIFER D NEUMEIE' Create Date 08/22/2013 :
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A— —I Type � Overhead � Underground '
Volts Circuits Luminaires
Amps Switches Receptacles _ _
Appliances �
I
Use/Nature of FR/REPAIR SERVICE *"check#3007
Work
Fees: Valuatio $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: i��� Date OS/22/2013
❑ Permit Voided Parcel Id# 0202130000
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 nece ry ap r als before starting such activity.
Signature ����v Date Q ���" l3
AgenUOwner
Address 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 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.U.Box I 130 �
Oshkosh,W 1 54903-I I 30
Phone(920)?36-5050
� Fax (920)?36-5084 �
i"7r� '�r. �.Vn7F4
ELECTRICAL PERMIT APPLICATION
.All information after bold categories must be provided. '
Incomplete applications will not be processed.
• Applicatian(s)and fez(s>can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box ] 128,
Oshkosh WI 54903-1 128. Commencing worh without permitlsl will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
UR
�vou ure u eontrtrctor participu(ing in !he Permr� Fer -1 ccnunt S►��em und have udc yuule Lncls check here
l�ou want this prvicessed lhrough vor�r account ❑
�e7 p�f,t f-. DATE � `Z Z ' �3
.IOB ADDRESS '
OWNER
CONTRACTOR `{ A f2I��+ �i,c-
CHECK m ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duple� ❑Multi-Famil� ❑Rental ❑Cammercial ❑Industrial
SERVICE ❑New ❑Temporan TYPE �Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER ,
Volts / Receptacles# , Circuits#
Phase
Amps Switches# F'ixtures#
CHFCK � ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Uryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ��4 i� ��`� �C �G .
�,v
VALUE(Including labor and all materials including li ht fixtures)$ 6�•
�
MASTER ELECTRIC[AN
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