HomeMy WebLinkAbout0157561-Electric � CITY OF OSHKOSH No 157561 }
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 805 W PACKER AVE Owner JENNIFER L DALY IRREV TRUST Create Date 09/05/2013
Contractor SECKAR ELECTRIC CO INC Category 623-Residential-Duplex Addition/Remode Plan
, Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches __ Receptacles
Appliances
�
Use/Nature of DUPLEX/add a bathroom in the basement
Work
_
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: ��- Date 09/05/2013
❑ Permit Voided� Parcel Id# 1219742200
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 ermit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to " cure a ecess approvals before starting such activity.
Signature ( � � �� , Date —�—�1
AgenUOwner
Address 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 -9728 Telephone Number (920)582-4909
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.
t
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-11�0
Phone(920)236-5050
Fax (920)236-5084 Of HKOf H
ON THF WATFR �
ELECTRICAL PERMIT APPLICATION
All 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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
I �ou are a contractor artici atin in the Perr�,it ee Account S stem and have ade uate nrnds check here
i ou want this rocessed throu h our account
DATE�-��• �) 'Z� I �
JOB ADDRESS �D� �� C���
OWNER ��/vIV Y ��L I
CONTRACTOR SE��14ie ��G7�(C-
CHECK C�1 ALL APPLICABLE
USE CATEGORY `��/
❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
�
SERVICE ❑New ❑Temporary TYPE ❑Overhead �iot Applicable
❑Change �3Qot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# � Circuits# �
Phase I
Amps Switches# � Fixtures# 1
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
;E�Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
��1't-( ��M o�D�Z
VALUE(lncluding labor and ail materials including light fixtures)$ lG���• �o
MASTER ELECTRICIAN li-c ��c f�f GV,I� �f�
3/02