HomeMy WebLinkAbout0109805-ElectricOSHKOSH
ON THE WATER
Job Address 55 CRIMSON LN
Contractor HOMEOWNER
Service ~ New ~) Change
Volts t10/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
(~ Temp
No 109805
Owner GRANT W/NANCY C SCHULTZ
Category 611 - Residential-New Single Family Widn
O N/A Type (~ Overhead
Circuits 30
Switches 40
Create Date 07/19/2004
Plan
· Underground
Fixtures
Receptacles
20
75
Appliances
Use/Nature of ~ISFR/ New single family, 2 story, 3 car attached garage.
Work -tome owner only to do wiring
Fees: Valuation
Issued By:
$4,500.00 Plan Approval
$0.00 Permit Fee Paid $114.00
Date 8/5~04
[] PermitVoided I
Parcel Id # 1415550000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section t 1-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I/@gree to perform all wor~ursuant to rules governing the described construction.
While the City of Oshkosh has.~o authority to enforca,~a,~ement restrictions of which it is not a party, if you perform the work
described in this permit ap¢c~n within ~n Csem/.,/t~e Cys?ongly urge~ the permit applicant to contact the easement
holder(s) and to secu.=e, ar]v rV~ss.a~, al:~c~als ~or~e~~ ~.
Signature ~'~// ~ ~~~-""-" Date (~"' ~''~ ~)
~ Agen4~~
Address GRANTW/NANCYCSCHULTZ OSHKOSH WI 5490- 6519 Telephone Number
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.