HomeMy WebLinkAbout0157777-Electric � CITY OF OSHKOSH No 157777
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 347 W 15TH AVE Owner JEROME R OECHSNER Create Date 09/17/2013
Contractor GROVER ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service Q New 0 Change � Temp � N/A �; Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles '
Appliances �
�
�
Use/Nature of SFR/electrical work done prior to issuance of permit for interior remodeling*'*LATE FEE ADDED**'
Work
I
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $130.00
Issued By: � Date 09/17/2013
❑ Permit Voided'i Parcel Id# 0904630000
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 t e ure a necessary vals before s ng such activi .
Signature Date
AgenUOwner
Address 1650 S OAKWOOD RD OSHKOSH WI 54904 -8347 Telephone Number (920)379-7259
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 Of HKO�I--I '
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 wark without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participatinQ in the Permit Fee .Account Svstem and have adeguate funds check here
if vou want this processed throu�vour account ❑
DATE �
JOB ADDRESS J � � �� I� �,
OWNER
CONTRACTOR �,_�'--5/ �!-PC tlr`t
CHECK 0 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE /t/j tyc_ �.0 /..i � ti� � P �,✓t ,%-� wmv�/
VALUE(Including labor and all 'als including light fixtures)$ _�0�'�—
MASTER ELECTRICIAN
3/02