HomeMy WebLinkAbout0126080-Electric (garage)
o
OSHKOSH
ON THE WATER
Job Address 668 MONROE ST
CITY OF OSHKOSH
No
126080
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JOHNATHAN UJESSICA A CANFIELD
Create Date 08/03/2007
Contractor
HOMEOWNER
Category 610 - Residential-New Single Family Servi Plan
Service
b New
120/240
Circuits
12
3
Luminaires
6
16
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Amps
200
Switches
Receptacles
Appliances
Use/Nature of SFR\ 200 amp UG service and new wiring for detached garage installed according to current code.
Work
Fees: Valuation ~
Issued By: 41.
. /
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 8/3/2007
D Permit Voided I
Parcelld # 0406030000
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 se ure any necessary approvals before starting such activity.
Signature :i- Date 0> - 'J -47
Agent/Owner
Address
OSHKOSH
WI 5490 - 4647 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
~
OfHKOfH
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 particivating in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throuf{h your account 0
DATE ~-,1-07
JOB ADDRESS iP fa ~ m()'l (O~ S~+(e,€-+
OWNER :TohnOL+ho.i\ ~~~.p\d
CONTRACTOR \-\{)M-e. o(...Jrbe r
CHECK ItJ ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE pt.New
DChange
DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
DTemporary
DNot Applicable
TYPE DOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts I
Phase
Amps 0(00
Receptacles # -lie>
Switches # 3
Circuits # 1.;;<.
Fixtures # l.p
CHECK ItJ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE_P()\.t \p C -m Dev...) 'jCA-YO !je
VALUE (Including labor and all materials including light fixtures) $ d 000
MASTER ELECTRICIAN~ ;:L~'
3/02