HomeMy WebLinkAbout0117406-Electric
0
OSHKOSH
ON THE WATER
Job Address 62 BROAD ST
CITY OF OSHKOSH
No
117406
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MICHAEL J SCHETTL
Create Date 02109/2005
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Plan
Service
0 New
0 Change
0 Temp
. N/A
Circuits
Type
~
0 Overhead
0 Underground
Volts
Amps
Fixtures
~
~
Switches 0
Receptacles ~
Appliances
Use/Nature of FR/ add 3 rec in kitchen and re-Iocate bathroom rec per code requirements
Work xtension to permits taken out 4 years a9°
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
,4J~
Date 11/25105
n Permit Voided I
Parcelld # 0801320000
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 11-22, 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 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
OSHKOSH
WI 5490 - 5247
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.