HomeMy WebLinkAbout0157967-Electric � CITY OF OSHKOSH No 157967
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2040 MENOMINEE DR Owner LARRY B/PEGGY D HIRSCHBERG Create Date 09/27/2013
Contractor JP ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A Type � Overhead 0 Underground j :
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances �
Use/Nature of SFR/Wiring bathroom remodel i
Work
Fees: Valuation $500.00 Plan Approval $0.00 PertnitFee Paid $30.00
Issued By: q�J Date 09/27/2013
��
❑ Permit Voided!� Parcel Id# 1512030000
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 se e any nece a a r als before starting such activity.
Signature Date X /'p� �'/3
AgenbOwner l
Address 16 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, Pertnit 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.
Ciry of Oshkosh
Division oflnspection Services �
P.O. Box I 130 �
Oshkosh,W I 54903-I 130
Phone�920)236-.5050 _ �
Fax (920)236-5084
Crra "ti� �.��A1�4� .
ELECTRICAL PERMIT APPLICATION
All informati�n after bold categories must be pravided.
Incamplete applications will not be processed.
• Application(s)and f'ee(s)can be hrought to City Hall. Room 205 or mailed to lnspection Services, PO Box 1 128,
Oshkosh WI 549Q3-1 128. Commencing work �+ithout permitls)will result in fees bein�daubled or$100.00 plus the
normal permit fee.which ever is grearer.
OR
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DATF. � - c�7"l�t'
JOBADDRESS ,��'�� ,.�U ���v�/� I it/�� pK-(�-
OWNER
CONTRACTOR J P C���r i� �1 c,
CHECK� ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Famil� ❑Rental �C�mmercial �Industrial
SE[tVICE ONew ❑�f'emporary TYPE OOverhead ONot Applicable '
❑Change �Not Applicable DUnder�;raund
FILL IN THE APPRnPRIATE BLANK WITH TNE NUMBER
Volts / Receptacles # Circuits#
Phase
Amps Switches s� _ Fixtures#
CHECK� ALL APPLICABLE
❑Ran�e ❑Dishwasher ❑Garba�e Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower OFurnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps OOther
DESCRiPTION OF ALL WORK BEING DOIVE��af'Cl (z�o.�-� (��mo�CC,� -
�G� G7G
VALUE(Includin�labor and all materials includin�light fixtures)$
MASTER ELECTRICIAN ���t�/
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