HomeMy WebLinkAbout0104915-Electric (kitchen remodel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2013 DOTY ST
SLIM'S ELECTRIC, INC.
I~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CALVIN M SEIBERLICH JR
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104915
Create Date 10/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Add outlets in kitchen.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 10/22/2003
Permit Voided
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
Agent/Owner
Address 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number
(920) 426-5249
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 Osblm~h'
Divisien of lnspecfien Services
P.O. Box 1130
Oshlwsh, WI 54905-1130
Phony (920)
Fax (920) 236-$084
ELECTRICAL PERMIT APPLICATION
lucomple~ applicagmis will no~ be processed.
Applicalion(s) and fee(s) can be brought to City Hall Room 205 or mailed to lnspe~i~ ~c~, ~ ~x 1125,
Oshkosh WI '$4903-1128. Commencing work without permit(s) will result in ~ b~ng doubled or $100.00 plus the
normal permit fee, which ever is ~reater.
OR
If you are a eontraetor narticiz~atine in the Permit Fee Account System and have adeauate funds, cheek here
if you want this l~roeessed throut~h your account []
JOBAV~SS 2013 Doty St.
ow~ Seiberlich
CO~'~'~CTOR Slim's Electric Inc.
~A~ 10/21/03
USE CATIf. GORY
r~Single Family r-IDuplex
ClMulti-F~mily
~RVIC~. EINew
[~Temparary
[]Not Applicable
ORental clCom~,~ercial Cllndustrial
TYPE f'lOve~hzad E~lot A. pplic~ble
ClUnderground
FILL IN THI~ APPROPRIATE B~ WlTII TII.E NUMBER
Volts ! Receptacles #
Phase
Amps Switches #
Circuits #
Fixlar~s #
CHECK ~ ALL APPLICABLE
ElRange ClDishwasher ElGarbage Disposal
l~Fan OR l~lower CIFum~e V1A/C
i-lMotors ClGas Pumps clOther .
ElDryer ElWater Heater
EIl~le~'ic Sign
])F_,SCRIPTION Or ALL WORK B~ING DONE Add outlets in kitchen.
VALU~ 0neladlal,. lsbor a~il all ~/U~ds/U~rlals~ucludl~/ag/~t Ii/~r~s), 500.~0
3/02