HomeMy WebLinkAbout0118567-Electric
0
OSHKOSH
ON THE WATER
Job Address 127 BROCKWAY AVE
CITY OF OSHKOSH
No
118567
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JAY G/ANGELA S STENGEL
Create Date 10/18/2004
Contractor
HOMEOWNER
Service iO New 0 Change 0 Temp
Volts
Amps -----.J:I
Category 612 - Residential-Single Family Addition/R
Plan
8N/A
Type
Q Overhead
0 Underground
Circuits
-----.l
Fixtures
-----.Q
Switches 2
Receptacles ------1Q
Appliances
Use/Nature of 'SFR I Addition of a family room in the basement
Work
Fees: Valuation
Issued By:
c?)-k-
$350.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date~
0 Permit Voided I
Parcelld # 1401660000
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 an necessary approval fore starting such activity,
S.20~c:.
.--
Date
Signature
Address
Agent/Owner
OSHKOSH
WI 5490 - 6943
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.