HomeMy WebLinkAbout0123025-Electric
o
OSHKOSH
ON THE WATER
Job Address 1360 MARICOPA DR
CITY OF OSHKOSH
No
123025
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ANDREW/DEIRDRE DEWITT
Create Date 12/28/2006
Contractor
HOMEOWNER
Category 612 - Residential-5ingle Family Addition/R Plan
Service
b New
o Change
o Temp
. N/A
Type 0 Overhead
o Underground
Volts
Amps
Circuits
Luminaires
6
Switches
2
Receptacles
Appliances
Use/Nature of SFRllnstall recessed fixtures in drop ceiling. Wiring/switching for gas fireplace/stove.
Work
Fees: Valuation
$400.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
,/lV
Date 12/28/2006
o Permit Voided I
Parcel Id # 1312430000
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 essary approvals before starting such activity.
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Agent/Owner
Date
/:!./.v~-,
Signature
Address
OSHKOSH
WI 5490 - 8151 Telephone Number 426-0176
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
f'i 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 permit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If you are a contractor DarticipatinfJ in the Permit Fee Account System and have adeouate funds. check here
ifvou want this Drocessed throud YOUr account D. "
12b~?
DATE
.rOB ADDRESS /3?(} /irl'/t';c;pr:; (Jr,
OWNER" A4 Dew/Z7
CONTRACTOR $1 /)~zr
CHECK Ii1 ALL APPLICABLE
. USE CATEGORY
r~ingle Family DDuplex OMulti-Family
. SERVICE. DNew DTempormy
DChange ~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
o Rental
o Commercial
DIndustrial
i
TYPE DOverhead ~ot Applicable
OUnderground
. V rifts
):lhase
Amps
1
FixtUres # 3
I
Receptacles #
Switches # J
Circuits #
CHECK Ii1 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
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r<V ALUE (Including labor and all materials including ~ght fIxtures) $
. MASTERELECTRICIAN ~,~" .
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