HomeMy WebLinkAbout0124869-Electric (subpanel)
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OSHKOSH
ON THE WATER
Job Address 729 MONROE ST
CITY OF OSHKOSH
No
124869
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JEFFREY R/L1SA S SAUERBERG
Create Date 05/18/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family AdditionlR Plan
Service
p New
120/240
o Change
o Temp
. NIA
Type
o Overhead
o Underground
Volts
Circuits
6
4
Luminaires
Receptacles
4
10
Amps
60
Switches
Appliances
Use/Nature of SFR\ Wire subpanel, lights, and recepts in detached garage according to current code.
Work
Fees: ValUatio/:1 n
Issued By: v/f
I
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 5/18/2007
D Permit Voided:
Parcel Id # 1107720000
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 secure any necessary approvals before starting such activity.
Signature 1.s-. '--J~\S
Date
,~k~ 7/
Agent/Owner
Address
OSHKOSH
~ 5490 - 0000 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 THF W^TER
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,
Oshkosh 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
[fvou are a contractor lJarticilJatinr: in the Permit Fee Account Svstem and have adeQuate funds. check here
ifvou want this lJrocessed throuf!h vour account D. "
DATE S-/;{?~'/
. .
JOB ADDRESS ,/~? ;11 ttYJ I??'f: ,~'r-
OWNER "G5"~ li=- )' ~f+ ~ a d -9 i~ f/
CONTRACTOR ::; p liP
CHECK ~ ALL APPUCABLE
USE CATEGORY
..-single Family
.SERVICE.rnNew
DChange
DDuplex
DMulti-Family
ORental
o Commercial
OIndustrial
DTemporary
DNot Applicable
TYPE DOverh.ead
DUnderground
I2dNot Applicable
Fll.L IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts /016 I t9tfo
:rhase
AmPS &0
Receptacles # I ()
Switches # If
Circuits # c;, .
FixtUres # tf
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAle
DOther
DDryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE Ld 4 ,c;(~ b . (In/jrA '" L
t:. .:2CJ A cN'c t'<r <\
. . VALUE (Including labor and aU materials including light fixtures) $
MASTERELECTRICIAN 1011 ~^~ A ~
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