HomeMy WebLinkAbout0157370-Electric (repair service) /�', CITY OF OSHKOSH No 157370
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 806 SCOTTAVE Owner DISCOVERY PROPERTIES LLC 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 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
_ _ _ _ __ _ .
Appliances �
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— — ---- --- — __- - --__ _______..
Use/Nature of MFR\Repair storm damaged service **check#3006
Work
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Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: �� Date 08/22/2013
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❑ Permit Voided Parcel Id# 0505490000
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 re any necessa ppr als ore starting such activity.
Signature Date �"?%�'' ��
AgenUOwner
Address 1 1 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.
Ciry of Oshkosh
Division of Inspection Services �
P.O.Box t 130 �
Oshkosh,WI 54903-I 130
Phone(920)236-5050
Fax (920)?36-5084 u
��:n; ^... �.vAT�F I � .
ELECTRICAL PERMIT APPLICATION
.Al) 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 1 128,
Oshkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permii fee,which ever is greater.
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�vou ure u eontruetor nar�icinulinY in [he Permi! Fee �lccntrn� St�ctE�m uncl hu►c udeyuu�e funds cheek he�e
t/ i-ou want thts processed thro�h }•our Uccount ❑
DATE �' —22—l-3
JOB ADDRESS ?�d Ea ��t�•
OWIVER
CONTRACTOR �A ���u, �c C� L
CHECK m ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplea ❑Multi-Familv ❑Rental ❑Commercial ❑Industrial
SERVICE ONew ❑Temporary� TYPE ❑Overhead ONot Applicable :
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK � ALL APPLICABLE
�Ranbe ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFumace ❑AIC ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ��c�i�P' C +��t`t_/i A �e �
o c�
VALUE(locluding tabor and all materials inc ding li t fixtures)$ lr,'DU�
MASTER ELECTRICIAN r
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