HomeMy WebLinkAbout0123038-Electric (basement remodel)
G
OSHKOSH
ON THE WATER
Job Address 680 GROVE ST
CITY OF OSHKOSH
No
123038
ELECTRIC PERMIT - APPLICATION AND RECORD
KENT S/JULlE 0 SCHULTE
Create Date 12/29/2006
Owner
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Amps
Circuits
Luminaires
Switches
Receptacles
Appliances
Use/Nature of SFR\ Wire lighting and receptacles to finish off basement area according to current code.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
tA1t1':"
Date 12/29/2006
o Permit Voided I
Parcelld # 1104620000
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 tos:;~ny ne'fssfY~provals before starting such activity.
Signature ,#vif -L!J<-hd/tc Date /2/27' he
, /
AgenUOwner
Address
OSHKOSH
WI 5490 - 0000 Telephone Number 231-3389
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 clays from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
r\ Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce~ed.
. 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 workwithoutpermit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor "Oartici"Oatin!! in the Permit Fee Account System and have adeQuate funds. check here
ifvou want this processed throu!!h vour account D' .
DATE rz.. /2 q /2(:;/06
. I
JOB ADDRESS b00 6/2&1/& SiKct=:7
OWNER . ).(pn'l SCf,1/l )IC
CONTRACTOR
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
r\~Single Family
.' SERVICE DNew
DChange
DDuplex
OMulti-Family
o Rental o Commercial DIndustrial
TYPE DOverhead ~JApplicable
DUnderground \.
DTemporary
!2gNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixttires #
CHECK Ii1 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
rY ALUE (Indudbtg labor aud -: y~ ldujiDgf fight fixtures) $
. MASTERELECTRICIAN ~ :L4-
50(.1 ,~?!2.
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3/02