HomeMy WebLinkAbout0157687-Electric /L"� CITY OF OSHKOSH No 157687
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1035 JEFFERSON ST Owner HABITAT FOR HUMANITY OF OSHKOSH II Create Date 09/12/2013
Contractor HULLAR ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground I
Volts Circuits 15 Luminaires 10
Amps 200 Switches _ 15 Receptacles 29
Appliances �
,
Use/Nature of SFR/Wiring for new SFR.
Work
�
I
Fees: Valuation $3 00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: Date 09/12/2013
❑ Permit Voided j Parcel Id# 1001320100
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 nece als bef starting such activity.
.
Signature Date ^ Z"�
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 01HKO.IH
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 ar$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor partici atin� in the Pe�•mit Fee Account Svstem and have adequate fzrnds check here
if you want this pi•ocessed throuQh vour account ❑
DATE �� Z —/ �
! J
JOB ADDRESS 1���� �7 �`�5�1
/ ' //
OWNER r?`���� � '��:-- !'I�*-����,i�>
CONTRACTOR�,„T��,fi ��L f, �
CHECK 0 ALL APPLICABLE
U ATEGORY
�Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial '
SERVICE Nt] ew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts__/ L� / ZS,� Receptacles# �7 Circuits# �
T
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 /(/ Z�.•� �.csr,S d c���
VALUE(Including labor and all materials incl ' g light fixtures) $ � / �- �
MASTER ELECTRICIAN ��
3/02