HomeMy WebLinkAbout157116 Electric (wire furnace) � CITY OF OSHKOSH No 157116
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 930 CEAPE AVE Owner CORY A SCHUBERT Create Date OS/08/2013
Contractor ACTION ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A _ Type � Overhead_ � Underground �
Volts Circuits �uminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR1 Remove knob&tube,wire fumace I
Work '
'I
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: �''G"'�'C'�°- Date 08/08/2013
❑ Permit Voided I Parcel Id# 0802340000
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 3061 W ELBERG AVE__________APPLETON _WI 54914 -5734__ Telephone Number (920)734-4020
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.
J/VG
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City of Oshkosh
Division of Inspection Services a u G o 8 2 0�3 �
P.O.Box 113Q �
Oshkosh,WI 54903-1130
Phone 920 236-5050 ��'�"."`��°"`�T��F
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Fax (920)236-5084 tNSPec�-�U.�s��k��fCe����-�s��v
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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 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 purticipating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account ❑
DATE �,� �/�
JOB ADDRESS ��c l.C'��� /�f �'`
OWNER
CONTRACTOR �G�,d�``� �l�G" "�
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family P�6uplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ONew ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �P/'�"� <�k'� '`— ���"� �' �r ��P
!!1 N ��- r1.yt � �'t'I 2 �j�/1 Cf c �
VALUE(Including labor and all materials including light fixtures) $ 10 c, `=
MASTER ELECTRICIAN � � � ,� � �-�
3/02