HomeMy WebLinkAbout0126040-Electric (3-seasons room)
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OSHKOSH
ON THE WATER
Job Address 1885 CRESTVIEW DR
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
126040
LARRY/CHRISTINE PLOG
Create Date 06/01/2007
Owner
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
eN/A
Type
o Overhead
O. Underground
Circuits
Switches
3
2
Luminaires
Volfs
Amps
Receptacles
8
Appliances
UselNature of FRIConstructing a 14'x14' 3 Seasons Room off the; rear of the houSe. * (12) 8" pierS will be installeg. A code compliant exit is required
Work ff the door. The door between the house and the addition is to remain in place.* Sub'panel added in bsmt. by MY Electric '
Fees: Valuation
$25.00
$400.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
drl/
(
Date 8/1/2007
o Permit Voided I
Parcelld # 1315970000
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 p . application wi sement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se ur any nec a before starting suc activity.
Signature Date
Address
OSHKOSH
~ 5490 - 8205 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (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
~
OJHKOJH
ON THF WATFR
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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here
ifvou wont thi, ",oc",,,d through vou, account 0 DATE 2? I (10 '/
JOB ADDRESS \<tS'XC C_~+"J-f'fU ~~ II
OWNER-LClfL ~\ o~
CONTRACTOR CJ ()vdhf/("'
CHECK 0 ALL APPLICABLE
U~E CATEGORY
~gle Family o Duplex o Multi-Family
SERVICE \0.New DTemporary
o Change DNot Applicable
DRental
o Commercial
o Industrial
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
~
Z-
Circuits #
3
()
Volts \ \ () I
Phase
Amps \S I 20
I
Receptacles #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAle
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ,\J0: 'c~ '^ 1
~s"'- V\. ~ 0 \IV--
MASTER ELECTRICIA:
S It /10.00
ing light fixtures) $ '1 (.,'
VALUE (Including labor and all m
3/02