HomeMy WebLinkAbout0157732-Electric � CITY OF OSHKOSH No 157732
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1843 DOEMEL ST Owner JOHN M/JULIE A FOLLETT Create Date 08/29/2013
Contractor KOLLMANN ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New 0 Change 0 Temp � N/A I Type � Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches _ Receptacles
Appliances
Use/Nature of SFR(LATE PERMI�/NEW KITCHEN LIGHTING,NEW GARAGE LIGHTING, NEW LIGHTS AND LIVING ROOM SWITCHES AND
Work RECEPTACLES *'check#3054
"'additional ck#3070"*
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Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $187.00
Issued By: J�Nl. Date 09/16/2013
❑ Permit Voided; Parcel Id# 1514812400
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
AgenbOwner
Address PO BOX 26 VAN DYNE WI 54979 -26 Telephone Number (920)273-0701
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
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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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participatinQ in the Permit Fee Account System and have adeguate funds, check here
iJ�ou want this processed through your account ❑
DATE �����3
JOB ADDRESS �Q "/ � �Q�vri -� I ��
OWNER ��ln �i �/t.°�
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CONTRACTORTd��acr".. ���L/r,-C- L`G
CHECK 0 ALL APPLICABLE
USE CATEGORY
C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead P�Not Applicable
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# ( � Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �• *
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T �. �-L:�, �
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VALUE (Including labor and all mat ials including light fixtures)$ ��7�
MASTER ELECTRICIAN �
3/02