HomeMy WebLinkAbout2013-Electric � CITY OF OSHKOSH No 158041
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 256 WYLDEWOOD DR#B Owner GARY ULINDA L PEPPLER Create Date 10/01/2013
Contractor SECKAR ELECTRIC CO INC__ ____ Category 612-Residential-Single Fam�Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground J
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances i �
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UselNature of ONDO UNIT/BASEMENT REMODEL WITH BEDROOM, FAMILY ROOM AND BATHROOM *"debit acct
Work �
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Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By:��(,,� Date 10/02/2013
� Permit Voide� Parcel Id# 1632000700
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 -9728 Telephone Number (920)582-4909
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O�u�(O�u
I II\ I I
pN THE WATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the PermYt F e Account S stem and have ade uate irnds check here
ifyou want this Drocessed throu�h vour account
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DATE �C I �, Z� � 3
JOB ADDRESS Z S�o � �y�-I��Zc�U U D
OWNER G��-� �� (�P�-��
CONTRACTOR �C��\�`-- �� �� � L-
CHECK�ALL APPLICABLE
USE CATEGORY :
❑Single Family ❑Duplex Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �t Applicable
❑Change �ot 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
�RSEM��T 2� M a D�—Z. (.v i �=1 [��Y�,eooM . �A�� � �� i�c�oM +-
f�fl�Tl-�IZv oM
VALUE(Including labor and all materials in uding light fixtures) $ ��0 v ' ��
MASTER ELECTRICIAN �z S S�C�
3/02