HomeMy WebLinkAbout0126314-Electric
G
OSHKOSH
ON THE WATER
Job Address 515 CONGRESS AVE
CITY OF OSHKOSH
No
126314
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARK/MARILYN DORSCHNER
Create Date 08/17/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Amps
Circuits
Luminaires
Switches
Receptacles
Appliances
Use/Nature of SFR\ Wire detached garage with 60 amp UG feeder. To be installed according to current code.
Work
Fees: Valuation
$750.00
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
Date 8/17/2007
n Permit Voided I
Parcelld # 1208470000
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.~cure any/,e~ry approva1 before starting such activity.
Signature ~7'jl1a.~ !~ Date Cj~/7.0"'"1
Agent/Owner
Address
OSHKOSH
~ 5490 - 2968 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 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
1 ou are a contractor artici aUn in the Permit Fee Account S stem and have ade
if YOU want this processed through your account 0
check here
JOB ADDRESS 5 r s-_ CQnt'~,rC)':;, \\vc,
OWNER C<lo,-,,\z. 'DD\Sc\.-v'",,-\
CONTRACTOR D \;J \'\A/'
DATE ~ - \I.J:)}
CHECK 0' ALL APPLICABLE
USE CATEGORY
,~ingle Family
"
SERVICE DNew
DChange
ODuplex
OMulti-Family
o Rental
OCommercial
o Industrial
DTemporary
~ot Applicable
"""",."
TYPE DOverhead
o Underground
9ll'Jot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oUs
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
DGarbage Disposal
DAIC
o Other
DDryer DWater Heater
DElectric Sign
DESC~!fTION OF ALL WO~ BEING DONE
t.--, rk.r. tI", ~ ( /J '" i v, I
MASTER ELECTRICIAN
. ft
din~ 6ght ["''res) L-.:J SO I
UV-6 )1..t.i.~
VALUE (Including labor and all materials ine
3/02