HomeMy WebLinkAbout0159030-Electric � CITY OF OSHKOSH No 159030
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1971 BEECH ST Owner TODD J/HEATHER K KLAUER Create Date 12/02/2013
Contractor ZARDA ELECTRIC LLC Category 612-Residential-Single Family AdditionlR Plan
Inspector Adam Krause
Service p New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits 4 Luminaires 14
Amps Switches 5 Receptacles 20
Appliances
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I
_ _II
Use/Nature of SFR/basement remodel to include adding walls for newly created bathroom and furnace rooms along with the craetion of a sump pum
Work and water heater rooms/plumbing, heating and electrical require separate permits/all work will meet state and local codes/creating a '
ame and tv room in basement
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Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ---�� Date 12/11/2013
❑ Permit Voided Parcel Id# 1221030000
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 perm' plic t' withi easeme City strongly urges the permit applicant to contact the easement
holder(s)and to c ce ryp¢prov g�starting such activity.
f �` � �
Signatu�re' � Date
AgenUOwner
Address 2000 OAKRIDGE RD NEENAH WI 54956 -2122 Telephone Number (920)475-0344
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
Fau (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 ar$100.00 plus the
normal permit fee,which ever is greater.
OR '
Ifvou are a contractor narticipating in the Permit Fee Account Svstem and have adeguate fzrnds. check here
if you want this processed throu�h vour account ❑
DATE � /� / `'
JOB ADDRESS ��/ '
OWNER ��Lf/�P ��'�1 CG/lsf/U�� � �v.�e�
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CONTRACTOR����. ��E?('/�i(� L`L
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# �J C�� Circuits#�
Phase
Amps Switches#��_ Fixtures# ,� /f�«t�s
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ���?�C-'/I'.�����g/7 D� L���/'�1��
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VALUE(Including labor and all materials incl ' g light fixtures)$ /� ��
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MASTER ELECTRICIAN �/ �
3/02