HomeMy WebLinkAbout0122767-Electric (garage subpanel)
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OSHKOSH
ON THE WATER
Job Address 432 W 5TH AVE
CITY OF OSHKOSH
No
122767
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TODD S PASCHKE
Create Date 12/01/2006
Contractor
HOMEOWNER
Category 612 - Residential"Single Family Addition/R Plan
Service
p New
120/240
Circuits
2
4
Luminaires
6
12
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Amps
30
Switches
Receptacles
Appliances
Use/Nature of ~FR\ Wire garage w/subpanel & grounding according to code.
Work
$25.00
Fees: Valuation
$400.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
Date 12/1/2006
D Permit Voided I
Parcelld # 0905150000
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.
0. A
Signature
Date
IL/IICJ~
,
Address
OSHKOSH
WI 5490 - 5906 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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
~... Phone'(920) 236-5050'
, Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
[fvou are a contractor participating in the Permit Fee AccountSvstem and have adeo.uate funds. check here
ifvou want this processed throuf!h your account 0 .
DATE II/II 0 6
{
v z ....-tJ
JOB ADDRESS f,.../ L ~ 5 .
OWNER ' '7@ c1"c{ ./ C1. 5 t.. tr /7 Q...
'. CO~CTOR 10, (;V Vi e Y
Cl V.Q....
CHECK eJ ALL APPLICABLE
~ CATEGORY
r'\\~Single Family DDuplex DMulti-Family
"SERVICE. GfNew . OTemporary
OChange DNot Applicable
ORental
o Commercial
OIndustrial
TYPE OOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts I J...(J I ')... ~ 9
:phase 1-
Amps 30
Receptacles #--1 L
Switches # 3 ~ If
Circuits # 3
FixtUres #
CHECK ItJ ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
OFan OR Blower OFumace DNC
OMotors OGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE h/:r't!'
~ y Gu,j ~C CO rei J '() (L:; " tA/, ",I
. - ." .0
DDryer DWater Heater
DElectric Sign
j'if4~ L./ )'011, f~nJ
y \.l / J II
C f,P r:d)O . (0 . (&JtJe
//O/J "OQ
,. /V ALUE (Including labor and all materia~....;;U~ light~firtures) $ , IV <A '1.:
JMASTERELECTRICIAN, //~~ ",' ~ v' fl15f{'e-TCl r
, ~.~.f/?' L.~-
Z.-(;:~tv') 0&11 ~/
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