HomeMy WebLinkAbout0157603-Electric (furnace & a/c) ;
� CITY OF OSHKOSH No 157603
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 723 STERLING AVE Owner FREDERICK O LEIST LIFE ESTATE Create Date 09/09/2013
Contractor VAN ERT ELECTRIC CO INC __ Category 612-Residential-Single FamilyAddition/R Plan
-- - --
. Inspector Adam Krause
-- -- - - -- _.
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits
- --- ___—___ �uminaires
Amps _ _ Switches _ _ Receptacles
Appliances Fumace,A/C
- - __ . -- -
i
-__
Use/Nature of FR/ELECTRICAL HOOK-UP TO NEW FURNACE AND A/C UNIT **check#4129
_ _ -- -
Work
i
I
i
Fees: Valuation $350.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: _l�l Date 09/09/2013
❑ Permit Voided I Parcel Id# 1107010000
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 2000 PROGRESS WAY _ KAUKUANA WI 54130 -9562 Telephone Number (920)766-3888
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.
Ciry of Oshkosh
Division of Inspection Services
P.O.Box 1130 �
Oshkosh,WI54903-1130 �
Phone(920)236-SO50
Fax (920)236-5084 O KO H
ON THE WATFR
� ELECTRICAL PERMIT APPLICATION
All information after bald 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 participating in the Permit Fee Account Svstem and have adequate funds chec,E here
►f vnu want this processed through Vour account ❑
c DATE_ " �� �
JOB ADDRESS� � v I�iOtSL�IQ S3JL1�13S N;OI�.J3dSt�It
.Lk36�d013A3a A1.1\(1fC6�OJ
OWNER 1'Y1, e�1�r' 30 t\3LQ.LN�'d34
CONTRACTOR ��Q� �-�- ��C�
�IOZ 90 d3S
CHECK�ALL APPLICABLE
�US CATEGORY Q�AI���ZI
ingle Family ❑Duplex OMulti-Famil ❑Rental
Y ❑Commercial ❑Indus�ial
SERVICE �New ❑Temporary TYPE ❑Overhead �Not Applicable
�ChanBe �Not Applicable ❑Underground
FILL IN THE ApPROPRIATE BLANK WITH TI�NUMBER :
Volts / Receptacies# Circuits#
Phase
Amps Switches# Fiztures#
CHECK�1 ALL APPLICABLE
��ge �Dishwasher ❑Garbage Disposal . ❑Dryer ❑Water Heater
❑Fan OR Blower -�"umace .�'A/C �Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
'VALLTE(Inctuding Inbor and all materi ls including light Tutures) " �- ��
MASTER ELECTRIC
�a��� C � 3,oZ