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Home My WebLink About0122911-Electric G OSHKOSH ON THE WATER Job Address 40 W 11TH AVE CITY OF OSHKOSH No 122911 ELECTRIC PERMIT - APPLICATION AND RECORD Owner DAVID UGINA MUEGGE Create Date 12/15/2006 Contractor HOMEOWNER Category 612 - Residential-Single Family Addition/R Plan Service b New o Change o Temp . N/A Type o Overhead o Underground Volts 120 Circuits Luminaires . 2 4 Amps 20 Switches 2 Receptacles Appliances Use/Nature of Remodel 2nd floor bedroom and closet. Remove plaster and lath and install new insulation and drywall with window replacement. Install Work new light in attic and new bedroom receps. $500.00 Plan Approval $0.00 Permit Fee Paid $25.00 Fees: Valuation Issued By: Date 12/15/2006 o Permit Voided I Parcelld # 0302510000 The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the City of Oshkosh to perform said work. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any n cessary approvals before starting such activity. Signature ~ ~ Agent/Owner Date / 2 - 2- 2 - 0'6 Address ~-- tJ /1 tT7"f OSHKOSH WI 5490 - 6010 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Division ofInspection Services P.o. Box 1130 Oshkosh, WI 54903-1130 " Phone" (920) 236-5050 " Fax (920) 236-5084 ~ OJHKOfH ON THF W^TER ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be proce$Sed. . Application(s) and fee(s) can be broughtto 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 permit fee, which ever is greater. OR If you are a contractor participatinf! in the Permft Fee AccountSvstem and have adeQuate funds. check here ifvou want this processed throuf!h YOUr account 0 "." " DATE I 2 - "2 2 - c;J b / /rH /l (//L" "/J1 (/~~ 4: r JOB ADDRESS "40 LvI OWNER" tJ /I i.; I t:J ?- C;i rv r;-. CONTRACTOR CHECK g ALL APPLICABLE ~ USE CATEGORY " JeSingle Family ODuplex DMulti-Family o Rental DCommercial OIndustrial "SERVICE DNew i3JChange DTemporary DNot Applicable TYPE DOverhead OUnderground ONot Applicable FILL IN THE APPROPRIATE BLANK WITH THE NUMBER 4- /2 CJ I / 2.0 Receptacles # Circuits # ( Z " Volts :phase Amps Switches # L Fixtlires # CHECK rtJ ALL APPLICABLE ODishwasher OFurnace OGas Pumps DESCRIPTION OF ALL WORK BEING DONE ORange OFan OR Blower OMotors DGarbage Disposal DAlC DOther DDryer OWater Heater DElectric Sign rv ALUE (Including labor and all materials including light iIXtures) $ MASTER ELECI'RlCIAN 3/02