HomeMy WebLinkAbout0158831-Electric � CITY OF OSHKOSH No 158831
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1657 MARICOPA DR Owner TIM FREY Create Date 10/25/2013
Contractor GUSKE ELECTRiC INC _ Category f�3"�-Residential-NewJlAuJt+�amily Wiring Plan
Inspector Adam Krause ��� �^Jle
Service � New � Change _� Temp � N/A �, Type � Overhead � Underground I
Volts 120/240 Circuits 27 Luminaires 36
Amps 200 Switches _ 29 Receptacles 68
Appliances Range,Dishwasher, Fumace,A/C, Dryer
I
� �I
Use/Nature of 'MFft�i-F�ekHtY/WIRING FOR NEW 8 BED CBRF(group residence with common living space) **check#3657
Work I SF�
Fees: Valuation $13,500.00 Plan Approval $0.00 Permit Fee Paid $247.00
issued By: ��� � Date 11/19/2013
❑ Permit Voided Parcel Id# 1318060000
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 2004 WAVERLY CT _ __SHEBOYGAN WI 53083 -2191 Telephone Number (920)458-4286
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,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 O HK f l
ON THE WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticiDatine in the Permit Fee Account Svstem and have adeauate funds check here
if vou want thrs nrocessed through vour account ❑
DATE \\- \$- a O 1`'s
JOB ADDRESS �Co� � '('���', ��i�A 1 S'�v C�
OWNER \ L C �j c��^n e,5
CONTRACTOR J+N\ ���V� t eS — C� �\2��Ng vti�c-R�k�
�v;�K�: Clec�c:�.=r-� — �`�2c���cc.\ Cv,�accAc�ro2
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE .�lew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ONot Applicable �Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts_ �a O / �y� Receptacles#��� Circuits# �1
Phase S�N�_
Amps a00 Switches# a � Fixtures# 3�o
CHECK�ALL APPLICABLE
HRange I���' hwasher ❑��G rbage Disposal L�Dryer ❑Water Heater
❑Fan OR Blower GdFur�ace BAlC ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE C(�m�2�r� l.>�t`,u s F c�t- (�_o,�P
QS.�?PNCE L�.�rn Chm+enOrJ `�V ir-ae �AcP
J
VALUE(Including labor and all materials including light fixtures)$ ��,50U
MASTER ELECTRICIAN (11',c�c�e_ � l.i�1-�z��_`� '�a y���y
3/02