HomeMy WebLinkAbout0156870-Electric (garage) /�'� CIT1( OF OSHKOSH No 156870
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 542 W 16TH AVE Owner CHANDA C ANDERSON Create Date 07/24/2013
Contractor EFFICIENT ELECTRIC,LLC Category 623-Residential-Duplex Addition/Remode Plan
Inspector
Service New � Change 0 Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of iring for detached garage.
Work
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Fees: Valuation $400.00 Plan Approvai $0.00 Permit Fee Paid $30.00
Issued By: Date 07/24/2013
❑ Permit Voided l Parcei ld# 1301280000 :
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 an r efor tarting such activity.
Signature - Date� f
_ : AgenUOwner �
Address 16 8 WESTERN ST OSHKOSH WI 54901 -2869 Telephone Number (920)915-8881
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.
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Ciry of Oshkosh
Division of Inspection Services � �
P.O.Box 1 t30
Oshkosh,WI54903-1130 � i
Phone(920)236-5050 #
Fax (920)236-5084 / �
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ON THF ATFR {
ELECTRICAL PERMIT APPUCATION �
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All inforrsiation after bold categories must be provided. '
Incomplete applications will not be processod. �
• 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 resuh in fees being doubled or 5100.00 plus the i
normal permit fee,which ever is greater. �
OR �
ou re a contrac or ' ' rm't u S t m ond have ade aie nds check ere t
�f vou want thta proceaaed tbrough your account ❑ i
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DATE �
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JOB ADDRESS �
OWNER j
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coN�►cTOR �e ' -� � /�r�� G(,� �
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CHECK 0 ALL APPLICABLE �
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USE CATEGORY 4
�inglo Family ODuplex OMulti-Family ❑Rental ❑Commercial ❑Industrial E
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SERVICE �l�Tew �Temporary TYPE�Overhead �I�Tot Applicable '
❑Change �Not Applicable OUnderground �
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FILL IN THE APPROPRIATE BLANK WITii TI�NUMBER �
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Volb ! Receptacles# Circnib# f
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Phase ?
Amps Switches# Fiztnres# �
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CHECK 6d ALL APPLICABLE F
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❑Range ODishwasher ❑Garbage Disposal � ❑Dryer ❑Water Heater �
OFan OR Blower �Furnace �A/C OElectric Sign 1
❑Motors ❑Gas Pumps �Other � .
DESCRIPTION OF ALL WORK BEING DONE � a �
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VALUE(Including labor and all materiab in ludlnQ light fiztura) '
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MASTER ELECTRICIAN t° �
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3/02 �
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