HomeMy WebLinkAbout0158000-Electric /�"� CITY OF OSHKOSH No �ss000
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 904 MOUNT VERNON ST Owner RYAN D ANDERSON Create Date 09/10/2013
Contractor JP ELECTRIC LLC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
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Use/Nature of ONVERSION TO SF/LATE PERMIT/Electrical work for the second floor bathroom and laundry room and for the first floor half
Work athroom to include code corrections and kitchen remodel *'check#3055,3057
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Fees: Valu 'on $1,600.00 Plan Approval $0.00 Permit Fee Paid $187.00
Issued By: l Date 09/30/2013
❑ Permit Voided � Parcel Id# 1002410000
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 s ur an ry approvals before starting such activity.
Signature , �� Date a�3U�13
AgenUOwner
Address 1615 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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 othervvise,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.
c�ty or�osh�:o5n �
Division of Inspection Services
P.U. Bo� I I;i0 �
Oshkosh,W154903-1130
Phone(920)236-5050
Fax (920►236-5084 I--�
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ELECTRICAL PERMIT APPLICATION
All information after bold categories muse be provided.
Inc�mplete applicatians will not be processed.
• Application(s)and f'ee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PU Box 1 128.
Oshkosh WI 54903-1 IZ8. Commenring work �ithout pe�mit(s)��ill result in f'ees being doubled or$100.00 plus the
normal permit fee.which ever is greater.
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Lvo:� wunt thrs�roc�.�•sed lhrough kour ucroun� ❑
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JOB ADDRESS q Q� M'I". V.Q,Y�V�OI�- __
OWNER
CONTRACTOR�'Q F�.Q,C'�(,.�,` L
CHECK� ALL APPLICABLE
USE CATEGORY
❑Single Family ❑I)uplex ❑Multi-Famil� ❑Rental �Commercial �Industrial
SERVICE �New ❑Temporan TYPE OOverhead ❑Not Applicable
❑Change �Not Applicable �Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles n __v__ Circuits#
Phase
Amps Switches# _ Fixtures# :
CHECK � ALL APPLICABLE
❑Range ODishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Mators ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEINC DONEri�, LOYY''CL�OI1S i �I�.I�.In
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VALUE(Includin�labor and all materials includin�li t fixtures)��.�Q_
MASTER ELECTRICIAN
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