HomeMy WebLinkAbout2007-Electric (basement)
,et
OSHKOSH
ON THE WATER
Job Address 3813 PURPLE CREST DR
CITY OF OSHKOSH
No
123958
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change
. N/A
Type 0 Overhead
03/28/2007
Owner
DANIEL J WAGNERfAPRILLE D PFUND
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Service
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o Temp
Underground
Volts
Amps
Circuits
minaires
Switches
ceptacles
Appliances
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Use/Nato.. of rFR\ WI.. '...mem ..modei.(Sho,. Famll, roo. & ""..ge a..a)
Work
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Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 3/28/2007
o Permit Voided I
Parcelld # 1261760000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned nd occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that ther
individuals may oot be employed to assist with the work described in this permit unless said individuals are Iicen ed 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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme t
holder(s) and to secure any necessary approvals bef?re starting such activity.
Signature (] .L)AA~ lA/o.cynP./1 Date 3-2g-07
- / Agent/Owner
Address
OSHKOSH
WI 5490 - 8212 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y.
f
, City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
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KOfH
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 Servi es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doub ed or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade .u
ifvou want this processed throuf!h vou~ account 0
DATE
JOB ADDRESS S B \ 3 PlAY P l.e.. CYt'-J + b yo (}J h K I)Jh
OWNER' 'b 0.. V"\ ~ A--pv; \ '.f vJ.CA5 Y\e V
CONTRACTOR C'J\^FV\ < V
CHECK Ia ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex
DMulti-Family
DRental
o Commercial
DIndustrial
'SERVICE ONew
OChange
OTemporary
ONot Applicable
TYPE DOverhead
OUnderground
ON t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:fhase
AmPs
I
Receptacles #
Circuits #
Switches #
Fixtlires #
CHECK Ia ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONC
o Other
DDryer Water Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
b~-cY"V\e:Y\+ yem od\c
. . VALUE (Including labor and all materials including light rIxtures) $ S- 0 () , ~
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MASTER ELECTRICIAN
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Dan Wagner
3813 Purple Crest Dr.
Basement Roor Plan
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