HomeMy WebLinkAbout0126208-Electric (service repairs)
o
OSHKOSH
ON THE WATER
Job Address 920 COZY LN
CITY OF OSHKOSH
No
126208
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARK/KAREN PULFER
Create Date 08/10/2007
Contractor
HOMEOWNER
Category 634 - Residential-Service Change
Plan
. Change
o Temp
o N/A
Type
. Overhead
o Underground
Service
p New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Service repairs due to bad main breaker. Install grounding as requied by code.
Work
Fees: Valuation
$200.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
tl11(
Date 8/10/2007
o Permit Voided I
Parcelld # 1519627400
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 re a ne sary pprovals before starting such activity.
Address
Date
<t /10/02
Signature
AgenUOwner
OSHKOSH
~ 5490 - 0000 Telephone Number 414-921-7975
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
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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
J ou are a contractor artici atin in the Permit Fee Account S stem and have ade
if yOU want this processed through your account D
check here
JOB ADDRESS 9 ri. /) Co.; ~ 1.4)t/j{
OWNER j)f4J<~ /VL/I5~
CONTRACTOR SICL F
DATE 8, 10- 01
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family
DDuplex
DMulti-Family
o Rental
SERVICE DNew
[if Change
DTemporary
ONot Applicable
TYPE
o Commercial o Industrial
~verhead ONot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /
Phase
Amps J()tJ
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
OAlC
o Other
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE /
VALUE (Including labor and all materials including Iig fixtures) $ 2/12] tJ . ?.y
MASTER ELECTRICIAN
3/02