HomeMy WebLinkAbout0124095-Electric
e~
OSHKOSH
ON THE WATER
Job Address 920 PARK RIDGE AVE
CITY OF OSHKOSH
No
124095
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change
Type 0 Overhead
Create Date 04/05/2007
Plin
01 Underground
Lrminaires
Receptacles __~
Owner
JOHN E/KATHLEEN SCHMIDT
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Service
b New
o Temp
. N/A --~
J
Circuits 6
Switches 4
3
Volts
Amps
Appliances
-1
Use/Nature of iring for the addition of a 3-season room
Work
U ~:~ t~,
Fees: Valuati
Plan Approval
$0.00
_ _._.n'._'~_"___
Permit Fee Paid
$53.00
o Perm~t_'!.()~d_~cU
Date 4/5/2007
Iparcelld # 1222400000
Issued By:
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home,owned bnd occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that 6ther -
individuals may not be employed to assist with the work described in this permit unless said individuals are Iicenked by the
City of Oshkosh to perform said work. l
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Wit;le the City 0' Q,itkosh h" no authority ID enID,,," """,ment resmotion' of wh;oh it Is not a party, ;, you perlo"" the w · ~
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme1nt
holder(s) and ecure any necessary appr als be ore starting such activity.
.1
Signature
Date
if/fi/67
,
Address
OSHKOSH
WI 5490 - 1590 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pe it Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ~our Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rbceived. Work may
continue if the inspection is not performed within two busines~ days from the time the project is rea1dy.
I
I
i
Cin' of Oshkosh
D~~iori ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
i~...
~~
OJHKOfH
I 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 Servifes, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being dou1l1ed or $100.00 plus the
normal permit fee, which everis 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 throuf!h vour account 0
DATE
JOB ADDRESS 9 2~ PA ~/.J.. K l D tJrG" AvE
OWNER .r~ i-4 /IJ >C M m; 1)'/
. CONTRACTOR ~ l-i. iAJ -S't!" H M 111/
CHECK Iii ALL APPUCABLE
USE CATEGORY
~ingle Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
. SERVICE DNew
OChange
OTemporary
JtNot Applicable
TYPE DOverhead
OUnderground
ON t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
,Volts J 2A I 2.t-{ (:)
:fhase 51 Ht:..l ,-:=
A-mps ~b b
Receptacles # B
Switches # 'I
Circuits #
~.
~.
FixtUres #
CHECK It[ ALL APPLICABLE
MASTERE~CTRICIAN 6\IQ~D By I-!/)WJf? OuJIV~1Z
3/02