HomeMy WebLinkAbout0126496-Electric (garage)
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OSHKOSH
ON THE WATER
Job Address 823 EASTMAN ST
CITY OF OSHKOSH
No
126496
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KRISTINE A ZELLNER
Create Date 08/28/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
120/240
Circuits
6
6
Luminaires
8
10
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Amps
50
Switches
Receptacles
Appliances
Use/Nature of pFR\ Wire detached garage with 50 amp UG feed according to current code.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
i/FP
Date 8/28/2007
D Permit Voided I
Parcel Id # 1002200000
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 secu ssa prova efore starting such activity.
Signatur Date
Agent/Owner
Address KRISTINE A SEELEY
OSHKOSH
WI 5490 - 0000 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
~
OJHKOfH
ON THF \-VATER
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 pennit(s) will result in fees being doubled or $ I 00.00 plus the
nonnal permit fee. which ever is greater.
OR
Ifvou are a contractor participatin1! in the Permit Fee Account Svstem and have adequate funds. check here
;fvou want this processed throu1!h vour account D' ,
DATE '6~28A:? 7
JOBADDRESS <6Z3 Sr5/~~ 51,
OWNER . t::- ;'5" J;.-r <. Seete'i
CONTRACTOR () '^ (I-Lr- \
CHECK ra ALL APPLICABLE
USE CATEGORY
tzrsingle Family
.'SERVICE._ew
DChange
DDuplex
OMulti-Family
ORental
o Commercial
Olndustrial
DTemporary
DNot Applicable
TYPE DOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
A-mps
[I Z t/a
~ 2
5'6
Receptacles #
10
t
Circuits #
u.
9
Switches #
FixtUres #
CHECK ra ALL APPLICABLE
ORange
DFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE eV}1vli.Ar e\t'<:\r ; <:.. $;rOM h0US~ +0
VI t v.../ er::t ;'"~1 e.
VALUE (lncludlng labor ami all materials iucludiug ~h. t fIno r s) $
MAsTERELECI'RICIAN ~ ::5,., .
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