HomeMy WebLinkAbout0119035-Electric
e
OSHKOSH
ON THE WATER
Job Address 922 W 12TH AVE
CITY OF OSHKOSH
No
119035
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KELLI C NUGENT
Create Date 0412012006
Contractor HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps
Appliances L
Category 612 - Residential-Single Family AdditionlR
Plan
8NIA Type 0 Overhead
Circuits ~
Switches 0
0 Underground
Fixtures
0
Receptacles 0
UselNature of SFR\ Wire 24 X 24 garage with underground led subpanel, receptalces and lights.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 412012006
0 Permit Voided I
Parcelld # 1305900000
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
Cily 01 Oshkosh to perform said work.
In the performance 01 this work I agree to perform all work pursuant to rules governing the described construction.
While the City 01 Oshkosh has no authority to enlorce easement restrictions 01 which it is not a party, il 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 t~e re n necessa approvals belo e starting such activity. ¿::/'-é?/~4
Signature '/ - Date ./ ß~
I / AgenUOwner
Address ~ OSHKOSH
WI 5490 - 0000
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Penmit 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.