HomeMy WebLinkAbout0124259-Electric
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OSHKOSH
ON THE WATER
Job Address 1007 HAZEL ST
CITY OF OSHKOSH
No
124259
ELECTRIC PERMIT - APPLICATION AND RECORD
JAMES A ROTHE
Create Date 04/16/2007
Owner
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Service
Volts
Amps
Circuits
Luminaires
Receptacles
Switches
Appliances
Use/Nature of FR\ Wiring detached garage with 30 amp subpanel. All wiring and grounding according to currentccciae,tl>'''
Wo~ 0o~
,';,.l' '.'
"Fees: Valuation
Issued By: 4/:;<::-
$700.00
Plan Approval ~$O.OO
Permit Fee Paid,'$39:00
Date 4/16/2007
o Permit Voided I
Parcelld # 1110220000
The undersigned, in applying for an Electric Permit to perform electrical wo~ within a singlefali1i1y 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 individualsarelieensedby 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 work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure cessary approvals be~ starting suc ctivity.
Signature
Date
4-.-- /6 ~o 7
Address
OSHKOSH
WI 5490 - 4058 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 WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. AppIication(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
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor participatine in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throuf!h vou;.. account D' -
DATE 4- / b '-'0 7
JOB ADDRESS I (JJ C) 7 ,// /I" "2 t5=-:-L~
OWNER ' L/:./2/l Ko ',/r-:E
CONTRACTOR S,4 ~1 r
.s- /'
CHECK fa ALL APPLICABLE
USE CATEGORY
9Single Family
'SERVICE DNew
DChange
DDuplex
o Multi-Family
ORental
o Commercial
OIndustrial
DTemporary
~ot Applicable
TYPE DOverhead
OUnderground
9Not Applicable
Fll..L IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts I
:rhase
Amps sO A
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK fa ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONC
DDther
ODtyer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
6>1-/?A & ~' , &U;/ 30 --4--
/1/ t<? /./1/ 0 fJ G:-'T'Ac' r'-l ~" U
-5- t/ g f> Afi/ $'- L
_ ' VALUE (Including labor and all materials including light f"atures) $ ,7 c:JO. 0 0
, /"-"-,/ ~
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MASTER ELECTRICIAN
r~ ,d.
3/02