HomeMy WebLinkAbout0126544-Electric (wire garage)
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OSHKOSH
ON THE WATER
Job Address 1307 EVANS ST
CITY OF OSHKOSH
No
126544
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRIAN T PERZENTKA Create Date 07/25/2007
Category 612 - Residential-Single Family Addition/R Plan
Contractor HOMEOWNER
Service
b New
120/240
o Change
o Temp
. N/A
Type
o Overhead
. Underground
Volts
Circuits
3
4
Luminaires 4
Amps
50
Switches
Receptacles 4
Appliances
. ,
Use/Nature of SFR/ Electrical work associated with a 50 amp underground feeder for branch circuits in a detached garage according to current code.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
.s/7K
Date 8/30/2007
o Permit Voided I
Parcelld # 1509640100
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
:~~~~~::~~PProvals before starting such activity. Date tf- _ 3 () ,_ O?
AgenUOwner
/30'")
r=~",.J
OSHKOSH
WI 5490 - 0000 Telephone Number
Address
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 through your account D
DATE otj3.c/o")
JOB ADDRESS 130) E"lra./lJ
OWNER b14'.,. ~t~1-ka.
CONTRACTOR
CHECK Ii1 ALL APPLICABLE
~E CATEGORY
~ngle Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE ONew
o Change
OTemporary
~ Applicable
TYPE OOverhead
~erground
"""
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
I
Receptacles #
Circuits #
S-o c"'I"
Switches #
Fixtures #
CHECK Ii1 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
DAlC
o Other
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
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VALUE (Including labor and all materials includin . ht fixtures) $' SOD
MASTER ELECTRICIA
3/02