HomeMy WebLinkAbout0156844-Electric � CITY OF OSHKOSH No 156844
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 633 MOUNT VERNON ST Owner NEIGHBORHOOD HOUSING SERVICES OI Create Date 07/23/2013
Contractor JP ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground i
Volts Circuits Luminaires
Amps Switches ___ Receptacles
Appliances
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Use/Nature of ISFR\Remodel kithcen and bathrooms I
Work
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Fees: Valuation $2,500.00 Plan Approval $0.00 PermitFee Paid $104.00
Issued By: Date 07/23/2013
❑ Permit Voided' Parcel Id# 0402510000
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 ecure any nece ary rovals before starting such activity.
Signature Date �� —/3
AgenUOwner
Address 1615 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.
City of Oshkosh
Division of Inspection Services �
P.O. Box I 130
Oshkosh,Wf 54903-I130 �
Phone(920)236-5050
Fax (920)236-5084 �_��`SCL_�
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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 Nall, Room ZOS or mailed to lnspection Services, PO Box 1 128,
Oshkosh Wf 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee.which ever is greater.
OR
J��are u contruetor narticinulinY in 1he Permr� Fee 4ecni�n� S'�et�m unci hcr�e udeyuute Jund� chec% here
�f�ou want thr processed through vvur pccoun� ❑
DATE � � 2.3 - /
JOB ADDRESS �33 /�� �,cr�z,J
OWNER
CONTRACTOR � ��,e�i� �(�
CHECK 0 ALL APPLICABLE
USE CATEGORY
�Single Family ODuplex ❑Multi-Famil} ❑Rental ❑Commercial ❑Industrial
SERV[CE ❑New �TemporaR TYPE OOverhead ONot Applicable
❑Change �Not Applicable ❑t)nderground
FILL IlY THE APPROPRIATE BLANK WITH THE NUMBER
Volts ! Receptacles# Circuits#
Phase �
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
�Range ❑Dishwasher �Garbage Disposal ❑Dner �Water Heater
OFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL W�RK BEINC DONE �10��/ �/�,«y v /��r.
f r9r�rY! �
VALUE(Including tabor and all materials i ludi light fixtures)$ �vD °%
MASTER ELECTRICIAN (
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