HomeMy WebLinkAbout0126588-Electric (3 seasons room)
G
OSHKOSH
ON THE WATER
Job Address 1526 BURDICK ST
CITY OF OSHKOSH
ELECT'RIC PERMIT - APPLICATION AND RECORD
i
No
126588
Owner
TROY R ANDLER
Create Date 09/04/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
I
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
4
Appliances
Use/Nature of ~FR\ Wire 3 - season room according:to current code.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~~-
Date 9/4/2007
D Permit Voided I
Parcelld # 1501500000
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, /1ereby 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 enfQrce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easer)1ent, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure an ecessary a ,pro als before starting such activity.
Signature
Date
Agent/Owner
Address
OSHKOSH
WI 5490 - 2902 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
~
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. Comm~ncing work withourpermit(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 participatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this orocessed through 'your account 0
DATE
?- f'-() 7
JOB ADDRESS /SZ6' (3r;Rt)fC~ .s-T
OWNER 7/f7l.o'1 /bJPl-Y(
CONTRACTOR
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE DNew
o Change
ODuplex
o Multi-Family
o Rental o Commercial o Industrial
TYPE DOverhead ~ot Applicable
DUnderground
DTemporary
~t AppliJab1e
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Receptacles # Lf
Volts
Phase
Amps
Circuits # 0
I
, Switches #
Fixtures # I
\
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
DFumace
OGas Pumps
DGarbage Disposal
DAle
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK B~ING DONE
(;JI RE
3 - Sb'/s ON RDOh
VALUE (Including labor and all materi~ls including light fixtures) $
MASTER ELECTRICIAN 4 ~
.500
3/02