HomeMy WebLinkAbout0125823-Electric (wire family room)
o Change
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C TY OF OSHKOSH
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ELECTRIC PERM, ~I,.I,IT - APiLlCATIO N AND RECORD
OWl er TH6MAS C RECKER Create Date
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:~:O~ 61i - R::Otial~O:::: AddlU,,"' ~a:Ode~muod
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'liC, ircuits " Luminaires
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Switches . 3 Receptacles
No
125823
e
OSHKOSH
ON THE WATEB
Job Address
523 CEAPE AVE
Contractor
HOMEOWNER
:0 New
Service
o Temp
Volts
Fees: Val
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of SFR\ Wire gutted family room according to current coe
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uation $500.00 Plan Approval ; $0.00 Permit Fee Paid $25.00
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, Date 7/17/2007
5
Amps
Appliances
Use/Nature
Work
Issued By:
o peJUit Voided i Parcelld # 0801290000
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The undersigned, in applying for an Electric Permit to perfor~ ~Iectrical ~ork within a single family home, owned and occupied
as the principle residence by the undersigned, herebyaCkno'^lledgeS per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in thi~ permit unless said individuals are licensed by the
City of Oshkosh to perform said work. III I
In the performance of this rk I agree to perform all work pursuant to rules governing the described construction.
While the City of Osh has no t ority to enforce easement f~strictions tif which it is not a party, if you perform the work
described in this p /' applicati "an e ement, the City s~r?ngIY urge~ the permit applicant to contact the easement
holder(s) and to" e any ne appro s before starting s~?h activity. /~~
Signature /' Date 71 J Z~ y
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Address
OSHKOS,
Wit 5490 - 5208
1-
Telephone Number 426-4435
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To schedule inspections please call the Inspection Rei, ~est line lat 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access infp Buildin~ if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume t~e project is ready at the time the request is received. Work may
continue if the inspection is not performed within two Iljusiness 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
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OJHKOfH
ON THF WATER
ELECTRICA PERLIT APPLICATION
All infonnation~ ler bold c~tegories must be provided.
Incomplete ~ ,! licatiorul will not be processed.
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· Application(s) and fee(s) can be brought to CitY I: all, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work ..thout pbt(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater. !. i. II .
OR i! '.
I ou are a contractor artici atin in the pd 1",it Fee Account S stem and have ade
i ou want this roeessed throu hour aceou' t 0
unds eheek here
JOB ADDRESS
OWNER l1fov-<tA-c;;
52J ~ M-e-!
f2E(2(LtK !ll
DATE
1- 11,,- c}1
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CONTRACTOR
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CHECK S ALL APPLICABLE
USE CATEGORY
~Single Family
DDuplex
DMulti-F
ORental
DCommercial
o Industrial
"SERVICE DNew
DChange
DTemporary
DNot Applicable
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TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH
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. Volts
:Phase
Amps
,
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Switches # ;
Circuits #
Fixtures # (
CHECK S ALL APPLICABLE
ORange
OFan OR Blower
ODishwasher
OFumace
DDtyer DWater Heater
DElectric Sign
I L V!t-()07J..-'\
. . VALUE (Including labor and all
r-6(J , () O.
MASTER ELECTRICIAN/
3/02