HomeMy WebLinkAbout0159048-Electric � CITY OF OSHKOSH No 159048
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 448 W 7TH AVE Owner L12 PROPERTIES LLC Create Date 12/12/2013
Contractor BRICCO SERVICES LLC _ Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service ;� New � Change 0 Temp � N/A � Type � Overhead � Underground �
Volts Circuits Luminaires 1
Amps __ Switches Receptacles 7
Appliances -�
�
I
Use/Nature of FR/ADD RECEPTACLES AND LIGHTS
Work
, -- ----- _- --_-- —_____ i
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By:��(�(..� Date 12/13/2013
❑ Permit Voided � Parcel Id# 0905600000
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 2100 E MAIN ST ____ KAUKAUNA WI 54130 -0 Telephone Number (920)707-0608
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 54903-1 1 30
Phone(920)236-5050
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
If vou are a contractor participating in the Permit Fee Account Svstem and have adepuate fiends check here �
if vou want this nrocessed through vour account ❑
DATE J�- 1 � - / 3
JOB ADDRESS L'I LI� (,,'� � �
OWNER�)�S�r1 � a I�•u,-7'
CONTRACTOR V t � C,(� 1� ✓ � c.�-5 Z.L�
CHECK Ef ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change �INot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#� Circuits#
Phase
Amps Switches# Fixtures# �
CHECK @f ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
I/ ,
DESCRIPTION OF ALL WORK BEING DONE�i� C'e C�P`�'S a' � i h`'b�s
�
VALUE(Including labor and all materials including light fixtures) $ �� �
MASTER ELECTRICIAN � I I � /� �� �
3/02