HomeMy WebLinkAbout0158339-Electric (sump pump) � CITY OF OSHKOSH No 158339
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 921 W SOUTH PARK AVE Owner AARON A HALFEN/KARON MATSCHI Create Date 10/18/2013
Contractor VECTOR ELECTRIC LLC _ Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A _J Type � Overhead � Underground
_
Volts 120/240 Circuits 1 Luminaires 0 i
Amps 100 Switches __ 0 Receptacles 2
Appliances Sump Pump
Use/Nature of SFR/INSTALL GFCI 20A SUMP,GFCI BREAKER AND GFCI RECEPTACLE **check#4100 �
Work I I
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I I
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Fees: Valuation $314.00 Plan Approval $0.00 Permit Fee Paid $30.00 ,
Issued By: Date 10/18/2013
❑ Permit Voided � Parcel Id# 1306900400
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
AgenUOwner
Address 6188 CLARK POINT RD WINNECONNE WI 54986 -0 Telephone Number (920)267-0811
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
F� (920)236-5084 OlHKOlH
. � 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 or$100.00 plus the
normal permit fee,which ever is greater.
OR '
I�,vou are a contractor participating in the Permit Fee Account System and have adequate firnds, check here
if vou want this processed throu�h vour account ❑
DATE �! l�/ � �
JOB ADDRESS _��l (�J � J�O U� �C11 I�l�
OWNER -'S�tt' �L� `
CONTRACTOR If QC''�(� �/P("�c�_ ��
CHECK 0 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts lotC7 / p2�{� Receptacles# � Circuits# L
Phase �
Amps IOZ� Switches# Fixtures#�
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign �
❑Motors ❑Gas Pumps �Other 5��� �(.��D / ,��� �l�C�� �eJ,
Po��,�.r
DESCRIPTION OF ALL WORK BEING DONE .T�/IS��`( �-�('_L� r�✓/�4(�
�KS�.+4�< �-F41^' -��K�
�'�rs�;�L! �c�� R P�
VALUE(Including labor and all materials including light fixtures) �
.._....
MASTER ELECTRICIAN ,S
3/02