HomeMy WebLinkAbout2013-Electric /�'� CITY OF OSHKOSH No 158463
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER :
Job Address 543 SCHOOL AVE Owner HABITAT FOR HUMANITY OF OSHKOSH II Create Date 10/25/2013
Contractor HULLAR ELECTRIC LLC Category 611 -Residential-New Sin�le Family Wirin Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A ' Type � Overhead � Underground
Volts 120/240 Circuits 19 Luminaires 10
Amps 200 Switches _ 22 Receptacles 31
Appliances Range,DW,GD,Dryer,Fumace :
�
Use/Nature of NSFR\Wire new home
Work �
I
I
Fees: Valuation $4,500.00 Plan Approval $0.00 PermitFee Paid $138.00
Issued By: Date 10/25/2013
❑ Permit Voided I Parcel Id# 0201230000
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 ss approvals before starting such activity.
Signature Date (� "� 1��
AgenUOwner :
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004_ Telephone Number (920)233-3667
To schedule inspections please call the Inspection Request li�e 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 O.IHKO.IH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate fitnds check here
if vou want this processed throu�vour account ❑ .
DATE�O—.��(
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JOB ADDRESS � � �C ���!
OWNER l�ur�� �T ��„-.-c�- �/�.
CONTRACTOR �j�i, /L rr ��rc�,A
CHECK Lf ALL APPLICABLE
U�ATEGORY
mgle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE L�New ❑Temporary TYPE OOverhead ❑Not Applicable
❑Change ❑Not Applicable B�derground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �L� / � Receptacles# .�� Circuits#l�
Phase �
Amps 2�J Switches#� Fixtures# l� .
CHECK�ALL APPLICABLE
�Range �washer ��rbage Disposal �Dryer ❑Water Heater
❑Fan OR Blower Furnace L�A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE /�' z "� `J^��-��/1.°
VALUE(Including labor and all materials induding lig fixtures)$ y��. (�.>
MASTER ELECTRICIAN
3/02