HomeMy WebLinkAbout0127085-Electric (garage)
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OSHKOSH
ON THE WATER
Job Address 1626 JACKSON ST
CITY OF OSHKOSH
No
127085
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BILLY J QUALMANN
Create Date 10/03/2007
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
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR\ Garage feeder and building wiring per attached detail sheet.
Work
Fees: Valuation
$600.00
Plan Approval
$0.00
Permit Fee Paid
$32.00
Issued By:
fft-"C
Date 10/3/2007
o Permit Voided i
Parcelld # 1501920000
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 secure any neces~ approvals before starting such activity.
Signature Rarl'?6"~c:a IVL..~-' Date IO~CJ3-07
.--
Agent/Owner
Address
OSHKOSH
~ 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 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
If vou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account D
DATE !,D-O~^ 0'1-
JOB ADDRESS I ro 26 jPC\tsep S,
OWNER (1ILL-- t FtlA-~6-\S\LA- ~LAA L~AtVloJ
CONTRACTOR Q\r--'/\ ~ ('
CHECK 0 ALL APPLICABLE
USE CATEGORY
'EiSingle Family o Duplex o Multi-Family
SERVICE J~]New o Temporary
o Change ONot Applicable
o Rental
o Commercial
o Industrial
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DE1ectric Sign
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
CoO
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