HomeMy WebLinkAbout0127447-Electric
.
eSHKOSH
ON THE WATER
Job Address 1328 RAHR AVE
CITY OF OSHKOSH
No
127447
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RANDY L SCHNEIDER
Create Date 10/23/2007
Contractor
HOMEOWNER
Category 623 - Residential-Duplex Addition/Remode Plan
Service
o New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFRI Remodeling the living room and bringing the electrical up to code.
Work
$25.00
Fees: Valuation
Issued By: \-.~
$100.00
Plan Approval
$0.00
Permit Fee Paid
Date 10/24/2007
D Permit Voided I
Parcelld # 0206750100
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 necessary approvals before starting such activity.
Signature
Date
Address
Agent/Owner
OSHKOSH
WI 5490 - 5307 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.
Cittof Oshkosh
~ Division ofInspection Services
. P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
I
~
OfHKOfH
OCT 22 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRICAL PERMilf(A'P~t:fe~'lol!JSION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THF WATFR
· 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 throuf!h vour account D
DATE
IO/~'L;6 /
, I
JOBADDRESS IJ~2 0- /2h1k/( ff~/~..
OWNER ./</9-#&> L ..J(RIVE/fP(.:'7L
r(""/ e
c) t...;... ((".. I~
CONTRACTOR
CHECK 0" ALL APPLICABLE
UfiE CATEGORY
)3JSingle Family DDuplex
DMulti-Family
DRental
D Commercial
DIndustrial
SERVICE DNew
DChange
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I 2... 0 I
Phase
Amps
Receptacles # C
Circuits #
Switches #
2--
Fixtures #
CHECK 0" ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower OFumace DAlC
DMotors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ft/l,( tv G
Lr j/l TP Coif? c7 ;-- ;?c7C~ ........:s-
,
o Dryer OWater Heater
OElectric Sign
t-cCZJ/t/C#{ 0 utccH
2- S'V'C/ / IC/-r <=' :J
VALUE (Including labor and all materials including light fixtures) $
100 ~ ~
MASTER ELECTRICIAN
c~c3) :303- )l~o
3/02