HomeMy WebLinkAbout0124127-Electric
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OSHKOSH
ON THE WATER
Job Address 1225 HARNEY AVE
CITY OF OSHKOSH
No
124127
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner
JOSEPH W RAYMOND/HEATHER A KUC Create Date 04/09/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
. N/A
Volts
Circuits
Type 0 Overhead
2
4
o Underground
Luminaires
5
3
Amps
Switches
Receptacles
Appliances
~
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I
I
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Use/Nature' of FR\ Wire attached garage. All wiring shall be according to current code.
Work
jJ s (~i~.; ~:J: ;
I
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Fees: Valuation'
$400.00
Plan Approval
$0.00
Permit Fee Paid
$25:00
Issued By:
Date 4/9/2007
o Permit Voided I
Parcel Id # 0804590000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Sectio~ 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.'
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application With. in an ea. sement, the. City strongly urges the permit applicant to contact the easement . ...1
holder(s) an~t~ secu~e any necessa #prov ,Is befOr~~g such activity. J.l Q
Signature ", \ -~ (~~ lL~Date'
Agent/Owner
(en
Address
OSHKOSH
WI 5490 - 5438 Telephone Number
To schedule inspections please call the Inspection Request line at 236.5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
. Phone'(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
ON THF W^TER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce$sed.
. 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
normal pennit fee, which ever is greater.
OR
[fvou are a contractor DarticiDatin!! in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this Drocessed throu!!h vour account 0 . l' '
DATE,Ll Cl!O 7
JOBADDRESS \;}J5 C\(~\ Au~
OWNERJJeC~1) kIJc\"&J\ C ~SV\
CONTRACTOR 1\ } CIV\A...
CHECK Ja ALL APPUCABLE
~ CATEGORY
~ngle Family DDuplex DMulti-Family
SERVICE, DNew DTemporary
DChange ')Zl~ot Applicable
,
o Rental o Commercial DIndustrial
TYPE DOverhead ,,/"~Not Applicable
DUnderground \
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
"7
'n
./
, Volts
;rhase
A-mps
I
Receptacles #
Circuits #
~~
Switches #
1
Fixtlires #
CHECK Ja ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnace
DGas Pumps
....;:;;.
DDryer DWater Heater
DElectric Sign
DAlC,
DOther
DESCRIPTION OF'ALL WORK BEING DONE
. ' VALUE (Including labor and all materials includi g
,~ 1
MASTER ELECTRICIAN 'J
()u
3/02