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HomeMy WebLinkAbout0157289-Electric (garage) � CITY OF OSHKOSH No 157289 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1715 DOTY ST Owner MYRA MISLES-KRHIN Create Date 08/19/2013 Contractor EFFICIENT ELECTRIC,LLC Category 623-Residential-Duplex Addition/Remode Plan Inspector Adam Krause Service New � Change 0 Temp � N/A Type � Overhead � Underground I Volts Circuits Luminaires Amps Switches Receptacles Appliances new garage I Use/Nature of jDUPLEX/wiring new garage Work i � Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: J'� Date 08/19/2013 ❑ Permit Voided i Parcel Id# 1400300000 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 ne ss ry vals e starting such activity. Signature Date AgenUOwner Address 1648 WESTERN ST OSHKOSH WI 54901 -2869 Telephone Number (920)915-8881 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 OfHKOlH 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 ar 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 Ijvou are a contractor participatin� in the Permit Fee Account Svstem and have adeauate funds check here ifvou want this pr•ocessed throu�h vour account ❑ DATE � � JOB ADDRESS J OWNER CONTRACTOR � �Gi� � .G IC�Y`�I�•� CHECK 0 ALL APPLICABLE USE CATEGORY ❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change ONot Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�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 I l ,iTs �C'_ �.P��1�[�° VALUE(Including labor and all materials including light fixtures) $ � �W MASTER ELECTRICIAN 3/02