HomeMy WebLinkAbout0123907-Electric (fan)
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OSHKOSH
ON THE WATER
Job Address 327 W 15TH AVE
CITY OF OSHKOSH
No
123907
Owner
BRETT E MOLASH
Create Date
ELECTRIC PERMIT - APPLICATION AND RECOR[)
Contractor
HOMEOWNER
Category 612 - ResidentiaJ=~ingle Family Addition/R Plan
Service
o New
. 0 Change
o Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Switches
Luminaires
Amps
Receptacles
Appliances Bath fan
Use/Nature of FR\ Wiring associated with bath remodel according to current code.
Work
Fees: Valuation
Issued By:. !ljp'::::
$25,00
$300.00
Plan Approval
$0.00
Permit Fee Paid
Date 3/23/2007
!
i
I.,
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
I
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. I
o Permit Voided I
Parcelld # 0904670000
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
h~lder(S) and to-.pre any necessary/~p~~wa;s before starting such activity.
SIgnature <~.d- ~~ Date
/ AgenVOwner
3~:<3--o/
Address
OSHKOSH
~ 5490 - _<!QQ~__
Telephone Number
1
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 reques~ is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
I
0/
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOJ
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
Ifvou are a contractor particivating in the Permit Fee Account System and have adequate funds. check here
ifvou want this vrocessed throuf!h your account D. .
DATE 3-~3-,O'7
JOB ADDRESS 3;)1 W..;/! r 51L-
OWNER . '1;/eH- V"lolas'l
. CO~CTOR -No VI e.. /h",.e (I,,,",I'.JJ f
CHECK It[ ALL APPLICABLE
~ CATEGORY
~gle Family DDuplex DMulti-Family
..SERVICE, ~ew OTemporary
~hange ONot Applicable
DRental
o Commercial
Ofudustrial
TYPE OOverhead
OUnderground
ONot Applicable
FllL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
AmPs
I
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK fa ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
laFan OR Blower OFurnace DAlC
OMororn DG~Pumps DOfu~
DESCRIPTION OF ALL WORK BEING DONE 15'(),fttt.povv-
DDryer DWater Heater
DElectric Sign
\<.e~~le I
. . VALUE (Includlog labor and all materials iUdU~ ,.......J $
MASTER ELECTRICIAN 1;5 /liif- ~
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3/02