HomeMy WebLinkAbout0127311-Electric
CITY OF OSHKOSH
No
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2213 M UNT VERNON ST
Contractor HOMEO~NER
Owner
ROBERT R VROMAN III
Create Date 09/04/2007
,
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Service o Newl . Change o Temp ON/A I Type . Overhead o Underground I
Volts 120, 240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances Range, i .w., garb. disp., dryer, furnace, bath fan.
Use/Nature of SFRI Witing 16' x 20'-3" addition" to include a new kitchen and bedroom. Relocate and upgrade service to 100 amps. All wiring to meet
Work urrent code requirements.
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 10/17/2007
o Permit Voided I Parcelld # 1515940000
The undersigned, i~ applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle resrence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may no 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 df this work I agree to perform all work pursuant to rules governing the described construction.
While the City of O,hkOSh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this peTit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec~re any necessary approvals before starting such activity.
Signature rA .-///_ '727 Date !CJ~/~cJ?
Agent/Owner
Address OSHKOSH WI 5490- 0000 Telephone Number
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To schedule ins )ections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Category 612 - Residential-Single Family Addition/R
Plan
Inspection (i.e. ~ooting, 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 ifthe i~spection is not performed within two business days from the time the project is ready.
City of Oshkosh I
Division ofInspection Services
1
P.O. Box 1130 I
Oshkosh, WI 5490f-I130
Phone (920) 236-5050
1
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 154903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
lOR
If vou are a conltractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this Iprocessed throuf!h vour account 0
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DATE /()--!? () '?-
JOB ADDRESS I 2- 2 /"5 )4tr kz./,A,/o,V
OWNER to,J/'1 ,e tIr().rvt~
CONTRACTOR! /;6~e CltA./lI./e./
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CHECK 0' ALL IAPPLICABLE
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USE CATEGORY
C$Single Family I DDuplex DMulti-Family
SERVICE DNel o Temporary
lliChdnge DNot Applicable
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FILL IN THE ~PROPRIATE BLANK WITH THE NUMBER
o Rental
o Commercial
o Industrial
TYPE ~Overhead
DUnderground
ON at Applicable
V oIts
Phase
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
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~ange I -eDishwasher fSfGarbage Disposal
f,}Fan OR Blower I ijJPumace DAlC
DMotors i DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE r e-loC4-fp Serv/c€
f'fI tJ.'/,{/ ),()v1~c a4~ #4
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VALUE (InclUdinllabor and all materials including light fixtures) $ '. 2c;l5O, t:rC)
MASTER ELEC+RICIAN ~;r;::: ~
.4ryer
DElectric Sign
DWater Heater
~ b'/ 1/'cz;;l.e /LJ()~
3/02