HomeMy WebLinkAbout0157193-Electric � CITY OF OSHKOSH No 157193
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1817 SIMPSON ST Owner KATHERINE J ROESKE Create Date 08/13/2013
Contractor HULLAR ELECTRIC LLC Category 612-Residential-Single Family AdditioNR Plan :
Inspector Adam Krause
Service New � Change � Temp � N/A Type 0 Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/KITCHEN REMODEL/Remodeling the kitchen to include removing the drywall on three walls,insulating the exterior walls, I
Work installing new cabinets and countertops. No walis are being moved and the ceiling is not being removed.
�
Fees: Valu tion $1,100.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 08/13/2013
❑ Permit Voided'�� Parcel Id# 1407440000
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 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 54903-1 1 30
Phone(920)236-5050
F� (920)236-5084 O.IHKO.IH
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
II'vou are a contractor narticipatinQ in the Permit Fee Account Svstem and have adeguate fi�nds check here
i1'vou want this nrocessed throu�h vour account ❑
DATE O � �� °'!� :
JOB ADDRESS I/> �� S�� �'� P,S c%�'�. S'.�-
OWNER
CONTRACTOR ��>�. (p���j ��;��5��-
CHECK Ef ALL APPLICABLE
USE CATEGORY
�ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑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 Cd 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 /� ,'����� �C.P�►'��� <
VALUE(Including labor and all materiats including tight fixtures) $ �j/6 � C- ''
MASTER ELECTRICIAN ��;/� ����j/
3/02