HomeMy WebLinkAbout0123576-Electric (porch)
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OSHKOSH
ON THE WATER
Job Address 1630 ALGOMA BLVD
CITY OF OSHKOSH
No
123576
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JAMES/DIANNE SENDERHAUF
Create Date 02102/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change
o Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
3
Amps
Switches
3
Receptacles
4
Appliances
Use/Nature of FRI Wiring associated with the rebuilding the existing porch*. The room will have to be wired to meet the CUrrent electrical code for
Work utlet spacing.
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 2/21/2007
D.-i'~rmit Voided I
Parcelld # 1200550000
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 nece sary approvals before starting such activity.
Signature \ '> La nvC~;J\ Date J...;2d - 0 j
Agent/Owner
Address I (P?o A I ~ orrl~
OSHKOSH
~ 5490 - 2723 Telephone Number J.3 { -5: 1,J ()
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 af Oshkosh
..' Division of Inspection 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particiDatinf! in the Permit Fee Account Svstem and have adeouatefunds. check here
ifvou want this Drocessed throuf!h vou~ account D' /' .
DATE d -J..) -01
JOBADDRESS l~ 80P,13GmA
OWNER' DrhkD~ l ~ )\
'CO~CTOR 12w P911I'J
CHECK r;zr ALL APPUCABLE
USE CATEGORY
I1iSfu.gle Family DDuplex DMulti-Family
.'SERVICE)9ft w OTemporary
OChange ONot Applicable
ORental
o Commercial
OIndustrial
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN '(HE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles # ~ Pi.
Switches # 3:>
Circuits #
. Volts
:phase
Amps
FixtUres #
3~
CHECK r;zr ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
OGarbage Disposal
DAlC
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE rY\Qu.) w\J\.L \3na~\~\. (
t::b#l
. . VALUE (Including labor and all materials including light IlXtures) $ b~ . -
.MASTER ELECTRICIAN
3/02