HomeMy WebLinkAbout0124214-Electric
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OSHKOSH
ON THE WATER
Job Address 11 07 VAN BUREN AVE
CITY OF OSHKOSH
No
124214
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
NICHOLAS A1JENNIFER L TABBERT
Create Date 04/13/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
18 New
o Change
o Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Switches
Luminaires
Amps
Receptacles
Appliances Dishwasher, bath fan.
Use/Nature of FR\ Bathroom addition with exhaust fan, kitchen remodel, new dishwasher, relocate laundry to tstflOOc..:
Work
Fees: Valuation
?jr/<:
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
Date 4/13/2007
~it Voided I
Parcelld # 1605330000
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
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 within an easement, the City strongly urges the. permit applicant to contact the easement
holder(s) and to secur ne ssary proval e starting such activity.
Date
~b~7
Signature
AgenVOwner
Address
OSHKOSH
WI 5490 - 0000
.~--~-- -I
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone"(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
ON rHF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation 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,
Oslikosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor participatinf! in the Permit Fee Account Svstem and have adeq.uate funds. check here
ifvou want this processed throuf!h vour account D' .'
. DATE ~/13/1J7
JOBADDRESS 1/117 Vall tr~/eY\
OWNER" J)t'ckla5 IlUicrt-
.
(\ ,t\-hJ (
"
CONTRACTOR
CHECK 1tI ALL APPLICABLE
USE CATEGORY
~Single Family
DDuplex
DMulti-Family
ORental o Commercial OIndustriaI
TYPE OOverhead ~ot Applicable
DUnderground
'SERVICE DNew
OChange
~DTemporary
.BNmApplicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
:Amps
I
Receptacles #
Circuits #
Switches #
Fixt1i.res #
CHECK 1tI ALL APPLICABLE
ORange mDishwasher OGarbage Disposal
I3Fan OR Blower DFurnace DAlC
DMotors DGas Pumps DOther
DESCRIPTlONj>F ALL WORK BEING DONE ~arI1 ~ j,Lt',w"1
'. /h-thtY/ I{~~ ( . _ _ w eX/'
~uJ IJthwtttr
~/":7 'GlUM/). fJ fq;"IA jd.5eMes1-f It} Pfb.r ~
/4?0
DDryer tJWater Heater
DElectric Sign .
" . VALUE (Including labor and all materials including light fixtures) $
MASTERELECTRICIAN ~./ ~ .
3/02