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HomeMy WebLinkAbout0123687-Electric o OSHKOSH ON THE WATER Job Address 1335 JUDY LEE CT CITY OF OSHKOSH No 123687 ELECTRIC PERMIT - APPLICATION AND RECORD Owner GEORGE M1MELlSSA F KALKA Create Date 03/05/2007 Contractor HOMEOWNER Category 612 - Residential-Single Family Addition/R Plan Service b New o Change o Temp . N/A Type 0 Overhead o Underground Volts Amps Circuits Luminaires Switches Receptacles 8 Appliances Use/Nature of SFR\ Basement remodel according to current code. Work u ~~ c<':T~~ ._~ Issued By: 41/2 $1,000.00 Plan Approval eM/( rr- $0.00 Permit Fee Paid "$60.00 Fees: Valuation Date 3/5/2007 D Permit Voided I Parcelld # 1343730000 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 goveming 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 necessary approvals before starting such activity. I / Signature ~ It:--- Date ~ r,'2 007 r AgenUOwner Address OSHKOSH WI 5490 - 0000 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 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 pennit(s) will result in fees being doubled or $100.00 plus the nonnal permit fee, which ever is greater. OR Ifvou are a contractor DarticiDating in the Permit Fee Account Svstem and have adeouate funds. check here ifvou want this Dracessed tkroueh vau;. account D' , DATE 3! s- !-LQ{)7 JOB ADDRESS \, .~ r J vO'f Lff [O(,I,ll OWNER, G0J~t:..L ~frLr-* CONTRACTOR C-ll'12,a: \Hct--in~ 4 ILfftlL"'\ rA-cv~t- CHECK Ltf ALL APPUCABLE ~ CATEGORY /~Single Family DDuplex OMulti-Family . SERVICE, ~ew DTemporary DChange DNot Applicable ORental OCommerciaI DIndustriaI TYPE OOverhead DUnderground DNot Applicable FILL IN THE APPROPRIATE BLANK WITH THE NUMBER I 'Receptacl~ # B Switches # S- Circuits # . Volts .:phase AmPs FixtUres # CHECK g ALL APPLICABLE ORange ' ~an OR Blower OMotors DDishwasher DFumace OGas Pumps DGarbage Disposal DAlC DOther DDryer OWater Heater DElectric Sign DESCRIPTION OF ALL WORK BEING DONE ~WOO(A:... Df- P71~~NT IJ';, .' VALUE (Including labor and all materials including light f"u:tures) Lt 6M.,.....- MASTER ELECfRICIAN G toile'll. tA-crlT tM-1~ 3/02