HomeMy WebLinkAbout0125105-Electric (pool)
e
OSHKOSH
ON THE WATER
Job Address 1115 DEVONSHIRE DR
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND REC~RD
No
125105
Owner JOSEPH J/BONNIE S JAGODZINSKI' Create Date 06/04/2007
I
Category 612 - Residential-Single Family Addition/R Plan
Contractor HOMEOWNER
Service
o New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
120
Circuits
Luminaires
Amps
20
Switches
Receptacles
2
Appliances
L
Use/Nature of SFR\ Wire above ground, permanent pool to current code.
Work
I
I
Issued By:
41h
$25.00
Fees: Valuation
$100.00
Plan Approval
$0.00
Permit Fee Paid
Date 6/4/2007
D Permit Voided I
Parcelld # 1311230000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, 6wned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-2~, 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 perforrh 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 sec any necessary approvals before starting such activity.
IDate
t/Gff07
Signature
Agent/Owner
Address
OSHKOSH
WI 5490 - 6233
Telephone Numper
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
I
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain en~ry), 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.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Jnspectio~ Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees beu,.g doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor participatin1! in the Permit Fee Account System and haveadeouate funds. check here
if YOU want this Drocessed throu1!h you;' account O. "
DATE b blOt/ ~)
JOB ADDRESS /lIf' PPVo,r;.5h.r"v-e f)v,
OWNER . J;;~e/b1 -;;;:? ovf e f" fie"
CONTRACTOR. /~h...../ li__~
CHECK ItJ ALL APPLICABLE
USE CATEGORY
~ingle Family
SERVICE ONew
OChange
DDuplex
DMulti-Family
DRental
DCommerciaI
DIndustrial
OTemporary
ONot Applicable
TYPE DOverhead ONot Applicable
I8Underground '
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
~mps
I
Receptacles #
6t..
Circuits #
r
Switches #
F.ixtu.res #
CHECK 6?J ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
DFan OR Blower OFumace ONe
~otors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONERv'.... PrJlA/e v +-/J"
ODryer OWater Heater
OElectric Sign
>. < ,
M,..-[:./'J^oI"YlI.c-\P
POC'I
.' VALUE (Including labor and all materials including light Ia:tures) $
1(/0. CJO"
MASTER ELECTRICIAN
h~ h~A~- .
3/02