HomeMy WebLinkAbout0127713-Electric
.r.>
J' e
OSHKOSH
ON THE WATER
Job Address 70 JACOB AVE
CITY OF OSHKOSH
No
127713
ELECTRIC PERMIT - APPLICATION AND RECORD
PATRICK W CULVER
Create Date 11/07/2007
Owner
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR/ Remodel the basement to include a family room, office, half bath, and bar area. All wiring to meet current state and national
Work ~Iectrical code.
Issued By:
$2,000.00
fir k:
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Date 11/7/2007
IJ Permit Voided I
Parcelld # 1416581000
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 enfo e easement restrictions of which it is not a party, if you perform the work
described in this permit application with' eas m nt, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any n ary app al b fore starting such activity.
Date
//- )-61-
Signature
Agent/Owner
Address
OSHKOSH
WI 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.
"''e'
"
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
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
1 ou are a contractor artici atin in the Permit Fee Account S stem and have ade
if vou want this vrocessed throuflh your account 0
JOB ADDRESS i
OWNER ? f:Jty2; e-k
CONTRACTOR S; 6l~
'+0 ;JiiCDK ~6
C u!.... V7::;-/2--.
DATE
/I~ 7~{)7
~
ruJ2_
()U)r'r5~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
SERVICE DNew o Temporary
DChange DNot Applicable
ORental
o Commercial
o Industrial
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAIC
OMotors OGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE ~G /1?Erv-t'"^
DDryer DWater Heater
DE1ectric Sign
I~E-t0~L
VALUE (Including labor and all
2, Cx)C). 0 6,
MASTER ELECTRICIAN
3/02