HomeMy WebLinkAbout0157756-Electric � CITY OF OSHKOSH No 157756
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 680 W 5TH AVE Owner EXCEL PROPERTIES LLC Create Date 09/16/2013
Contractor JP ELECTRIC LLC Category 612-Residential-Single Family Addition/R Pian
Inspector Adam Krause
Service New � Change 0 Temp � N/A � Type � Overhead � Underground �
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances (
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Use/Nature of SFR/house remodel and service change
Work
"*ck#3034"
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Fees: Valuation $2,775.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: �� Date 09/16/2013
❑ Permit Voided I Parcel Id# 0603360000
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 ure any neces a ap o als before starting such activity.
Signature ' � Date �—/6 ���-�
AgenUOwner
Address 16 OREGON ST OSHKOSH WI 54902 -6921 Telepho�e 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 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 oflnspection Services �
P.U. Box I 130
Oshkosh, 1b'I 54903-I 130 �
Phone(920)236-SOSq
Fax (9?Q�236-5084 �
,,. ... ..�,:�
ELECTRICAL PERMIT APPLICATION
All infarmation after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)c;an be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 1�8,
Oshkosh WI 54903-1 I?8. Commencing work without permit(sJ will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
!f t•ou ure u c•r�ntructor nurticinu�inY in [he Permr� !-eo lccorin� S��trm und hu►� udryuule fund� checl. here
t o� w n thts ro •�s �ed Ihrott h �our t�ccr�un� ❑
DATE G l6-�p��� �
JOB ADDRESS ��O W ,��`
OWNER
CONTRACTOR c P r !,P!"^�1 L � �C
CHECK �ALL APPLICABLE
USE CATEGORY
❑Singie Family ❑Duplex ❑Mu(ti-Famil� ❑Rental ❑Cummercial ❑Industria)
SERVICE �New ❑Temporan TYPE ❑Overhead ❑Not Applicable
❑Change �Not Applicable ❑Under�round
F[LL[N THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase i—
Amps Switches# `__ _ �ixtures#
CHECK �ALL APPLICABLE
ORan�e ❑Dishwasher ❑Garbage Dispasal ❑Uryer OWater Heater
❑Fan OR Bloaer ❑Furnace ❑AlC ❑Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BE[NG DONE �ocu� f islst,��t .�— S�rv .e.�
� �.�►s �
VALUE(Includin�labor and all materials includin�li�ht fixtures)$ � 77� ��
MASTER ELECTR[CIAN
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