HomeMy WebLinkAbout0157524-Electric (remove knob & tube from attic) � CITY OF OSHKOSH No 157524
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1726 DOTY ST Owner GORDON R KARGUS REV TRUST Create Date 09/03/2013
Contractor T RUCK ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches _ Receptacles
Appliances �- -- �
� �
Use/Nature of SFR\Remove knob&tube from attic
Work I
,
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: � Date 09/03/2013
,-
❑ Permit Voided Parcel Id# 1400190000
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 necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
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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City of Oshkosh
Division of Inspection.�',ervices
P.O. Boe 1 130 • �
Oshkosh.�Z'I �490�-1130 �
PhOne(92Q)236_i�5p
Fax (42G}236-SO&� L���-�t
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ON 7I-+F WRTER � -
ELECTRICAL PERMIT APPLICATION
All infornration after bold categories must be provided.
Incomplete applications witl not be processed.
� AppIication{s) and fee(sj can be broueht to City Hall,Room 205 or mailed to Inspection Services, PU Bo�c ? i��,
Oshkosh VVI 549J3-1128. Commencing work without permit(s) will result in fees being doubled ar$100.0U p;us ti��
normai permit fee, which ever is greater.
OR
�f�'ou are a contra^tor partic�atinQ in the Permit Fee Accouitt S �stem Qncf have ade tiate rrnds. c,�eck Lcr•:�
:f vou wanr thi,r vrocessed througlr vour account ❑ .
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JOB AllllRESS_ z�f p�L j'�—,
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U«`NER--��� C7(Z�L'—? � �.��, `�
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CUNTRACTOR �'2 - /JS�cI� b�����c ,�`�j� .
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CHECK H ALL APPLICABLE
L�f CATEGORY
�J.Single Fanlily ❑Dupiex Clhlulti-Family ❑Rental ❑
Commercial ClIndustna!
SERVICE ❑New OTemporary TYPE ❑Overhead �ot Applicabie
DChange �(Not Applicable �Underground
FILL IN THE APPROPRIATE BLA.I�FK W ITH THE rtUiliBER
Volts / _ Receptacles# Circuets#
Phase
Amps S«�atches #
Fixtures#
CHECK H ALL APPLICAIiLE
❑Range C7Dishwasher ❑Garbage Disposal C�Dryer (�Water Heater
❑Fan UR Blow•er �Furnace C1A��, ❑Eleciric Sign
❑Motors CJGas Pumps ❑Other
DESCRIPTION OF Ai,L VVU.�tK BEING llUNE. � �, � v
,
� r2 ����; � v�11 ���
�'ALUE (Inciuding iabor and atl mater" Is ' luding fight rxtures) $ J n n � �
�ti1ASTER ELECTRICIAN ,L