HomeMy WebLinkAbout0158423-Electric � CITY OF OSHKOSH No 158423
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 219 FULTON AVE Owner TIM NETTEKOVEN Create Date 10/24/2013
Contractor ZWIERS ELECTRIC INC _ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New � Change _� Temp � N/A '� Type � Overhead � Underground
Volts Circuits 10 Luminaires 10
Amps Switches 20 Receptacles 30
Appliances IRange, DW,disp,dryer
�_ --
-
Use/Nature of SFR\Whole house remodel
Work
i
�
— — ---
Fees: Valuation $3,500.00 Plan Approvai $0.00 Permit Fee Paid $121.00
Issued By: � Date 10/24/2013
❑ Permit Voided' Parcel Id# 1000210000
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 pplication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur ny ne sa vals before starting such activity.
Signature ' L� Date
AgenUOwner
Address W369 COUNTY ROAD H _ FREMONT WI 54940 -8664 Telephone Number (920)841-5838
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 OJ�--{KO f I--I
ON THF 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
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�vour account ❑
DATE �D 'Z�(—1 3
JOB ADDRESS ��Q ��-l.�"rv r�) � U i=
OWNER �T<t/� lY���EC-UrJc=��/
CONTRACTOR �v�t2 S C C�CT��.2 C
CHECK H ALL APPLICABLE
USE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �'TTot Applicable
❑Change �1ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#� Circuits# �C7
Phase
Amps Switches# o�d Fixtures# �D
CHECK�ALL APPLICABLE
C�ange C�PS shwasher L+�Garbage Disposal �r ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ���Z'1C�C� L
Cu
VALUE(Including labor and all materials including light fixtures) $ � 5 UG- �
MASTER ELECTRICIAN ��7 3�
3/02