HomeMy WebLinkAbout0125495-Electric (wiring)
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OSHKOSH)
ON THE WATER
Job Address 1537 MOUNT VERNON ST
CITY OF OSHKOSH
No
125495
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
PETER R WUSSOW
Create Date 06/25/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change
o Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
5
Luminaires
5
7
Amps
Switches
2
Receptacles
Appliances
ood burner, Dishwasher
Use/Nature of SFR\ New wiring for for kitchen and dinig room lights, replacing receptacles and armored cable with NM.
Work
$46.00
Fees: Valuation &
Issued By: 4 "7
$800.00
Plan Approval
$0.00
Permit Fee Paid
Date 6/25/2007
D Permit Voided I
Parcelld # 1505670000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and c re any necessary approvals before starting such activity.
- W~
Date
~ --z.:5" -07
Signature
Agent/Owner
Address
OSHKOSH
WI 5490 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
IAspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be proce$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
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor Darticipatinf! in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this Drocessed throuf!h vour account D. ,
/ '.2..S-o 7
DATE t:) ,
.sf".
JOB ADDRE,SS I 5' 37 J///I T 1/ fG/ ~oN
OWNER ' -r ~.J ~ w U 55 d....,J
CONTRACTORf)r?TE- V_H) S5~vJ
CHECK !if ALL APPUCABLE
US): CATEGORY
MSingle Family DDuplex
DMulti-Family
DRental
o Commercial DIndustrial
.SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Vcilts~
:phase' . ~
Amps I
Receptacles #
7
"2.
Circuits # ~ .5
........
FIXtlires # S
Switches #
CHECK !if ALL APPLICABLE
dan~e mbishwasher OGarbage Disposal
OFan OR Blower OFurnace ONC .
OMotors OGas Pumps GtOther wou~
DESCRIPTION OF ALL WORK BEING DONE /2e rl..t c (N
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l}.JoC)~ k?0rN ~II", A (S~ \.N rl C €. (uS
.por 1<-(+<;.<-' '<.~ 1('~V)+5~ ""Vl,,-,I'k,
.' VALUE (Including labor and ~terialS in.~luding light fIXtures) $
MAsTERELECTRICIAN ~...ct W ~
DDryer OWater Heater
r ^' IJElectric Sign
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