HomeMy WebLinkAbout0125186-Electric (sunroom)
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OSHKOSH
ON THE WATER
Job Address 1040 CANTERBURY DR
CITY OF OSHKOSH
No
125186
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
GARY G/CAMALA T BEDROSKE
Create Date 06/06/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Amps
Circuits
2
2
Luminaires
Receptacles
4
Switches
Appliances
Use/Nature of SFR\ Run wire for outlets, fixtures and switches in sunroom.
Work
Fees: Valuation
$25.00
$250.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
/?lie
Date 6/6/2007
D Permit Voided I
Parcelld # 1310860000
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 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 ecure any necessary aQ rovals before starting such activity.
Signature
Date
h -7'-0 7
,
Address
OSHKOSH
WI 5490 - 6228 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
. · 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
nonnal pennit fee, which ever is greater.
OR
Ifvou are a contractor lJarticilJatin!! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this lJrocessed throu!!h vour account D. .
DATE i (;) - .~-o7
JOB ADDRESS I (J 1..(0 Carl ,Let bLA r~
. OWNER 'C4nro ~dl~&.k .
CONTRACTOR f Se \ -\-
CHECK 9 ALL APPLICABLE
USE CATEGORY
~Single Family . DDuplex OMulti-Family
. SERVICE.l!!New DTemporary
DChange DNot Applicable
DRental
o Commercial
o Industrlal
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts I/o I / ~g
:Phase J/~) /z
:Amps
Receptacles # 4f
Switches # ~
Circuits # / c> l' ~
. Fixtures # I
CHECK ~ ALL APPLICABLE
o~ .
~ 'OR Blower
OMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONe .
DOther L. I)'/' Is
DDtyer DWater Heater
OElectric Sign
~
DESCRIPTION OF ALL WORK BEING DONE '('LA.. VI
q>f\ ot.. ,,J 'S.,.; (:+c:.. k. e < ~\ '"' t\..l h -r- Q (l ~
W I'~ J?o.
C) t~\- (-e (- S
" . VALUE (Including labor and all materials including light IlXtures) $ 1,}. ,50.
MASTER ELECTRICIAN
3/02