HomeMy WebLinkAbout0124003-Electric
'0
OSHKOSH
ON THE WATER
Job Address 914 OTTER AVE
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ADAM E/TABITHA E LAJOIE
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Service
:0 New
Type
o Overhead
o Change
o Temp
. N/A
Volts
Circuits
Amps
Switches
3
Appliances
No
124003
C eate Date 04/0212007
Ian
Underground
eceptacles
7
Use/Nature of SFRI Kitchen Remodel 'Gutting the kitchen and installing new insulation, drywall, cabinets, countertops, and ooring. A new window will
Work Iso be installed.
Fees: Valuation
$1,600.00
Permit Fee Paid
$77.00
$0.00
Plan Approval
Issued By:
o Permit Voided I
Date 4/2/2007
Parcelld # 0203100000
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 ther
individuals may not be employed to assist with the work described in this permit unless said individuals are lice 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 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
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easem
holder(s) and t sure any' necessary a vals before starting such activity.
Cl -. -
Signature
Telephone Number
Address
WI 5490 - 5445
OSHKOSH
Date
H 7J IJp(l') 0 9-
(
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), y 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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbone"(920) 236-5050
Fax (920) 236-5084
~
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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 S ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being dou led 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 . check here
ifvou want this processed throueh vour account 0
DATE
JOB ADDRESS <11 if () He r rt-V'fi( D ~ h (t( D ') h w T' ->'/9 cJ J
OWNER" .IJJaM. tf. (o.b,'-/hq l ~'J'O/e
CONTRACTOR
CHECK Ia ALL APPUCABLE
V~ CATEGORY
JOSingle Family ODuplex OMulti-Family
.SERVICE ~ew OTemporary
~Change ONot Applicable
ORental
o Commercial
OIndustrial
TYPE DOverhead
OUnderground
ON t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
" Volts
:phase
Amps
I
Receptacles # 'f
Switches # ")
Circuits #
FIXtlires # "
CHECK Ia ALL APPLICABLE
bii'Range
OFan OR Blower
DMotors
~ishwasher
OFumace
DGas Pumps
of~r f
" " VALUE (Including labor and all materials including light fixtures) $ 1 b()()
MASTER ELECTRICIAN
3/02