HomeMy WebLinkAbout0118578-Electric
G
OSHKOSH
ON THE WATER
Job Address 840 W 9TH AVE
CITY OF OSHKOSH
No
118578
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
Contractor
DONALD UC M BOELTER
Create Date 03/21/2006
HOMEOWNER
Service [) New 0 Change 0 Temp
Volts
Amps -----2
Category 612 - Residential-Single Family Addition/R
Plan
8N/A
Circuits
Type
-----2
0 Overhead
0 Underground
Fixtures
-----2
Switches 0
Receptacles ~
Appliances
Use/Nature of FRI Gutting the 2nd floor and replacing old electrical.
Work
Fees: Valuation
$200.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
?lIic
$20.00
Date 3/21/2006
n Permit Voided I
Parcelld # 0605780000
The undersigned, in applying for an Electric Penmit 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 perfonm said work.
In the perfonmanee 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-sEtcure any ssary app vals before starting such activity. ~ ;' /
Signature <7-<..; Date 3/'.;).) / tJf,o
AgenUOwner
Address
OSHKOSH
WI 5490 - 6374
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.