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Home My WebLink About0159163-Electric � CITY OF OSHKOSH No 159163 . OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1646 ELMWOOD AVE _ Owner DEVON E/SUSAN K JONES Create Date 12l27/2013 Contractor JP ELECTRIC LLC _ Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service New 0 Change � Temp � N/A Type � Overhead � Underground �a�� _ _ Circuits Luminaires Amps Switches ____ Receptacles Appliances ----- -- --� � � Use/Nature of SFR\Bath and kitchen wiring , Work � � �� Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: Date 12/27/2013 ❑ Permit Voided Parcel Id# 1201870000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to s e any necessa pp� efore starting such activity. Signature �� Date 1��7'C� AgenUOwner Address 1 1 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oslikosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 F� (920)236-5084 01HKOlH ON THF WATER � ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI 54903-1128. Commencing wark without permit(s)will result in fees being doubled or$]00.00 plus the normal permit fee, which ever is greater. OR ' Irvou are a contractor narticipatinQ in the Permit Fee Account Svstem and have adeguate fi�nds check here ifvou want this Drocessed throu�your account ❑ DATE a- 2 � JOB ADDRESS %�`/� �%(i�GU� OWNER CONTRACTOR__ � P �1��- � CHECK 0 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 WO BEING DONE ��E�v 2p 4 �� j � �a�4L � �r t�ow. � � � C:r�p ,. ��- � �eJ VALUE(Including labor and all terials inc ing light fixtures)$ .�� r MASTER ELECTRICIAN - " 3/02 �p. �i