HomeMy WebLinkAbout0158466-Electric � CITY OF OSHKOSH No 158466
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 729 FREDERICK ST Owner STAR PROPERTIES OF OSHKOSH 2 LLC Create Date 10/25/2013
Contractor JP ELECTRIC LLC __ _ Category 634=Residential-Service Change Plan
Inspector Adam Krause
Service i New � Change_� Temp _� N/A ' Type � Overhead _ � Underground _ i
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances — -�i
Use/Nature of SFR/Replace Service. ---
Work
--- — ---- — —�
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: �� Date 10/25/2013
� Permit Voided Parcel Id# 1004940000
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 an n ssaf�3�p ore ta ing such activity.
Signature q � Date, G�L�rl.�j
AgenUOwner
Address 615 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, 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 pe�formed 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 01HKOlH
Fax (920)236-5084 `
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$100.00 plus the
normal permit fee,which ever is greater. :
OR
Ifvou are a contractor participating in the Permit Fee Account Svstem and have adequate fi+nds, check here �
if vou want this processed throu�vour account ❑
DATE /o —Z.Z —!3 :
JOB ADDRESS 'v� � �r'�G,�'t C�
OWNER
CONTRACTOR <J P ��,�6-ri��c l 14
CHECK L(ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE �?Jverhead ❑Not Applicable
�Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z n / ZYV Receptacles# Circuits# :
Phase i S�
—�
Amps /o J Switches# Fixtures#
CHECK E�1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign :
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ��A Ce� ��►i�ti
—r
s�
VALUE(Including labor and all materials i cluding li ht fixtures)$ �/��
MASTER ELECTRICIAN �
3/02