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Home My WebLink About0159017-Electric (kitchen remodel) � CITY OF OSHKOSH No 159017 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2977 SHADOW l.N Owner GREEN TERRA LLC Create Date 10/23/2013 Contractor GROVER ELECTRIC Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service New � Change � Temp � N/A ' Type � Overhead � Underground J Volts Circuits Luminaires Amps Switches _ Receptacles Appliances - � __ _ 1 Use/Nature of .SFR\Interior remodel Work i I �� - Fees: Valuation $725.00 Plan Approval $0.00 Permit Fee Paid $54.00 Issued By: �� Date 12/09/2013 ❑ Permit Voided Parcel ld# 1519625900 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 sec sary appr Is before starting such activity. Signature Date 9 �� AgenUOwner Address 1650 S OAKWOOD RD OSHKOSH WI 54904 -8347 Telephone Number (920)379-7259 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 5490�-1130 Phone(920)236-5050 F� (920)236-5084 O.IHK01H 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 narticipatinQ in the Permit Fee Account Svstem and have adeauate funds check here ifvou want this processed through your account ❑ DATE � ��a�� JOB ADDRESS �4 �� 4�t-�/c1'vw C�4.v, OWNER .�-c'�'1-��C r„� ,.� CONTRACTOR .[�-vc,�.�,i �l ��7'�'� CHECK Lf 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 / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�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 ��`f� h r �`t r�-i��`Y � � v,v�.,�,�3 � �-'�-L d j-I ir c�� VALUE(Including labor and all materials including light fixtures) $ �ZS �� MASTER ELECTRICIAN 3/02