HomeMy WebLinkAbout0125258-Electric (misc wiring)
G
OSHKOSH
ON THE WATER
Job Address 2120 OREGON ST
CITY OF OSHKOSH
No
125258
ELECTRIC PERMIT - APPLICATION AND RECORD
MR/MRS ROBERT T LYON
Create Date 06/11/2007
Owner
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Service
o New
120/240
Volts
Circuits
10
4
Luminaires
15
15
Receptacles
Amps
Switches
Appliances
Use/Nature of ~FR\ Wiring to convert porch into living space, add outdoor recepts. to deck area, sub-panel and wiring for detached garage.
Work
$1,900.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
/$p
Date 6/11/2007
o Permit Voided I
Parcelld # 1402180000
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 sec a y n cess ry approvals before starting such activity.
Signature
Date
~ ~//,-o 7
AgenUOwner
Address ~Ld- (5 ~r ..,
OSHKOSH
WI 5490 - 7059 Telephone Number
?~tJ ~ '1"/ U....) /13
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 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 information after bold categories must be provided.
Incomplete applications will not be proce$sed.
. 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
nonna1 pennit fee, which ever is greater.
OR
[fvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed throuf!h va";' account D. "
DATE ~ - //:- (J 7
JOB ADDRESS <91;) cJ () I'- 2 ~nN .s r
OWNER . ~rb /-V 0 tV (/
. / ()
CONTRACTOR ' , ) IN "" ..t -Y"
.....
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
~gle Family
SERVICE DNew
DChange
DDuplex
OMulti-Family
DRental
DCommercial
Dfudustrial
OTemporary
'Not Applicable
TYPE DOverhead
DUnderground
~Not Applicable
FllL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts ::J;l() I /YD
:fhase
~mps
Receptacles # /5
Circuits # ~ /0
FixtUres # /..5 ~
Switches #
CBECI('l!!r ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower DFumace DAlC
OMotors DGas Pumps o Other
DESCR,IP. T}O'N OF ALL WORK BEING OOm: -[!) ~,
~~.e ~ ~~'1&. d.L\.4((Q
ODryer DWater Heater
OElectric Sign
,. . .
€ 220 ' n />/
/:;<.6 ~Q ;;:{(;: UlI'U'J.....
MASTER ELECTRICIAN
~
""\
. . .--Fl
. VALUE (Including labor and all materials including light f'lXtures) $ .
3/02