HomeMy WebLinkAbout2013-Electric (kitchen remodel) � CITY OF OSHKOSH No 157177
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 360 ROSALIA ST Owner SECRETARY OF HOUSING&URBAN DEV Create Date 08/12/2013 :
Contractor RHINO ELECTRICAL SERVICES LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Voits Circuits 3 Luminaires 5
Amps Switches 2 Receptacles 6
Appliances
Use/Nature of SFR\Kitchen remodel
Work
I
�
Fees: Valuation $500.00 Plan Approval $0.00 PermitFee Paid $30.00 :
Issued By: i'),� Date 08/12/2013
❑ Permit Voided' Parcel Id# 0203900000
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 N 3825 KELLY RD. SHIOCTON WI 54170 -0 Telephone Number 920-850-3224
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 �
F� (920)236-5084 ��LJV���
I l�\
ON THE 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
If vou are a contractor ncrrticipatinQ i» the Permit Fee Account Svstem and have adequate firnds check here ��
i�'vou want this pi•ocessed throu�vour account ❑ �
,
DATE �/r2 �
JOB ADDRESS ��''d ��S�X,� 1�. J'' �
OWNER
CONTRACTOR_1Z� r "10 ��t C�'�"i ci,, St':.r i?cS� C t C
CHECK H ALL APPLICABLE
USE CATEGORY
,�Single 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 �Z v / 2YG Receptacles# � Circuits# �
Phase /
Amps /G�O Switches# Z Fixtures# -s~
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 �C M c�A�/ o� �i "�°`���,
�Q d a
VALUE(Including labor and all materials including light fi ures) $
� /y� / /
MASTER ELECTRICIA � � ��t`t•f'�t�� �/tJ► C��''�a ry y �j��/6
�eL°�ri��� ���z:c�r- � //D� 7,� 8 3io2