HomeMy WebLinkAbout0157014-Electric � CITY OF OSHKOSH No 157014
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 908 BISMARCK AVE Owner STEVEN UGUDRUN HEMMINGHAUS Create Date 08/02/2013
Contractor DREXLER ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service I� New � Change 0 Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Dishwasher,disposal,microwave
i
I I
Use/Nature of ISFR/install wiring for kitchen upgrades
Work
I""ck#6103"
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, �
Fees: Valuation $650.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: "(�,`_ Date 08/02/2013
❑ Permit Voided� Parcei Id# 0603710000
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
Agent/Owner
Address 490 COUNTY ROAD FF PICKETT WI 54964 -9513 Telephone Number (920)589-6700
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.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O u�(O u
I II\ I I
ON THF WNTFR
� ELECTRICAL PERMIT APPLECATION
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
If vou are a contractor narticinatinQ ir. the Permit Fee Account Svs�em und have adequare fur.�zs check nere
if vou want this processed through vour account ❑
DATE 7���-�3
JOB ADDRESS �� � t� t Z-'^� '�}'2-'�L-- S��`
owrrER 5T�✓� (�-�� ��� t�'s RECEIVED
CONTRACTOR ����e 2 �LE-c�-�2-c e AUG 012013
CHECK C�J ALL APPLICABLE DEPARTAtE�T OF
C0�1�iU�iTY DEVELOPIIEVT
USE CATEGORY INSPECTIO`SERVICES Di�'ISIO'�
�Single Family ❑Duplex ❑Multi-Family �ental ❑Commercial ❑Industrial
SERVICE ONew �Temporary TYPE ❑Overhead �ot Applicable
❑Change �Not Applicable ❑Underground
/
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts_/� l 02 yQ Receptacles# Circuits# �
Phase y
Amps /S L*� Switches# � Fixtures �
CHECK H ALL APPLICABLE
❑Range �Dishwasher �Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFurnace ❑A/C ❑Electric Sign '
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Wi2''? �'�- ��s��'�S��
r fr�t /'Ul�u2�w„avc �-.ur� Ti� J lG�t � 5"
VALUE(Including labor and all materi s including light fiztures) $ l� �`�
MASTER ELECTRICIAN � /-/� `J
3/02
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