HomeMy WebLinkAbout0123648-Electric (misc)
'8
OSHKOSH
ON THE WATER
Job Address 532 W 15TH AVE
CITY OF OSHKOSH
No 123648
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KELLY DEWING & CHAD LAWLER
Create Date 03/01/2007
Contractor
HOMEOWNER
Category 612 - Residential-Singl_~ Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of FR\ Adding additional overhead lights and installing receptacles and smoke detection to upstairs bedrOoms according to code.
Work
Fees: Valuation
Issued By: f1r~
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 3/1/2007
D Permit Voided I
Parcel Id # 1301050000
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 iri this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s ;;C~.~X C~:l?~ appro~efore sta~:cti~.:....._. --= J Ie
-' .f ...... / 07
Signature . .~ ' Date --'
Agent/Owner
Address
OSHKOSH
WI 5490 - 6378 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 permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor DarticiDatinf! in the Permit Fee Account System and have adeQuate funds. check here
ifvou want this processed throuf!h vou~ account 0 .
DATE
-"3 ;0 /Z007
oJOBADDREss5.32:: L0 /5,1-1 l1 UE:
OWNER (! /-1/1[;; LrI c.-> '- Ere
CONTRACTOR 0t..--JKJ(::: rc.
CHECK fa ALL APPUCABLE
~E CATEGORY
~Single Family DDuplex DMulti-Family
. SERVICE. ONew OTemporary
o Change IHNot Applicable
ORental
o Commercial
OIndustrial
TYPE DOverhead
DUnderground
r1Net Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
AmPs
I
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK fa ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
o Fumace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ;IT>o;-\J? ADO/TIONA'- C)Ue::-e.h"'6-7<90
J.../t5117S <t- t.JZEX:c:PrICU;:'S -ro. UP5'Tr'J in.s &o/?c:.XY'7S DcR'0^-.)D/~& o~.::i
COj)c;::. , AflX);10.G- Fuu'!= ~"/GCC"TOn..s.. t:.0/~E;-C!"C:;- .}.:X~G:O bO
. ou
. VALUE(lnclUdinglabOrandaDmat~..ia.Is~.~ _~00-.
MASTERELECTRIC~~ . --------.....
3/02