HomeMy WebLinkAbout0127136-Electric (new service)
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OSHKOSH
ON THE WATER
Job Address 446 W 16TH AVE Owner
CITY OF OSHKOSH
No
127136
ELECTRIC PERMIT - APPLICATION AND RECORD
MARK THIERMAN
Create Date 10/05/2007
Category ~~~:_B~~9_e_t!~~!::~erv~~f~an9~______
Plan
Contractor
HOMEOWNER
Service
Ie ~e~--OCha~--O-Te;-;;:;p- --~V-NiA-=~=l
Type 0 OV~':I1~~__________jt__l,J~9_~~ground __.j
Volts
120
Circuits
3
luminaires
9
Am ps 50
Switches 2
Receptacles 13
Appliances 1---------.
--------------1
___~__J
Use/Nature of!SFR / Run wire from house to garage; install panel, boxes, outlets and switches.
Work i
i
I
I
I
I
I
1.__.._.----.-.-.
Issued By:
$760.00
~
Plan Approval $0.00
Permit Fee Paid $46.00
Fees: Valuation
Date 10/5/2007
D._fl.ermit Vo_i~~<!J
Parcel Id # 0907630000
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 necess~ provals b restarting such activity.
Signature "II. Date /0- ,>-7
Agent/Owner
Address
Q~l::!l<gs~___. ~ 5490 -_~~.?.!_ Telephone Number (~:?-Qt3Jq-J~]O
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 ofInspecrion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation 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 $100.00 plus the
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor 'DarticilJatin~ in the Permit Fee Account Svstem and have adeauate funds. check here
ifvou want this lJrocessed throuf!h vour account D. ,
DATE 10- S,- 01_
JOB ADDRESS
OWNER' JVlo.('~
4Lflo w J(, A\J~
-,~ '
I y\\~r~o..'"
CONTRACTOR
CHECK &:f ALL APPLICABLE
USE CATEGORY
~ingle Family
SERVICE, l}lNew
, DChange
DDuplex
DMulti-Family
DRental
o Commercial o Industrial
OTemporary
ONot Applicable
. TYPE DOverhead
~nderground
ONot Applicable
m IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts /2 0 I
:phase 5i n~ \-e..
~mps 50
Receptacles # /3
Switches # 2..
Circuits #
3.
q
FixtUres #
CHECK &:f ALL APPUCABLE
ORange DDishwasher OGarbage Disposal
OFan OR Blower OFumace DAlC
OMotors OGas Pumps ~Other -=---8o..('O\~e .
DE~CRIPTIONOFALLWORKBEINGDONE ruV'\ Wire. fro\'Y'l hOIJ''''/ il"l:s~\1 pO\V1e.y
\ \1\ .s+~ \ \ ho~e.S. tH)tk.+S ~Y\J sw \+,,~eS '
ODryer OWater Heater
DElectric Sign
MASTER ELECTRICIAN
~ 7{,O
\ ?J~
, 01.1
I
.' VALUE (Including labor and all materials including light IlXtures) $ ~G.\tr\OI\S .'.~~I) .lo.~o('
3/02