HomeMy WebLinkAbout0127806-Electric (service change)
o
OSHKOSH
ON THE WATER
Job Address 431 W 9TH AVE
CITY OF OSHKOSH
No
127806
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JOHN R1ANGELA M DOUGLAS
Create Date 11/13/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
120/240
. Change
o Temp
ON/A
Type
. Overhead
o Underground
Volts
Amps
Circuits
Luminaires
125
Switches
Receptacles
Appliances
Use/Nature of SFR\ Service change from meter socket into new panel; wire living room with new outlets and lights.
Work
Fees: Valuation
Issued By: f! /!!7
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 11/13/2007
D Permit Voided j
Parcelld # 0906120000
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 in an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure n ppro als before starting such activity.
Date
/1-'13-'07
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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 t6 Inspection Services, PO Box 1128,
Oshkosh WI 54903-1.128. 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 oarticipatinz in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this orocessed through vour account 0
DATE //-/3--07
JOB ADDRESS /13/ lb. 9# ~
OWNER ~ c;;6~ B 'i)ks
I
CONTRACTOR 11(> yn~ o v-- h er
CHECK ~ ALL APPLICABLE
US~CATEGORY
CB'Single Family DDuplex
DMulti-Family
o Rental DCommercial Dlndustrial
TYPE ~erhead DNot Applicable
DUnderground
SERVICE DNew
~hange
DTemporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 220 I 1/6
Phase I
Amps /zr
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAIC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE il"I1f4)h.
o ~'f /~ -6 J- LtyJl6 , 2""'h.5M-! / JV~ u..J
BRQA./('4! t~.e.I,
t",/~ RI#AI. t;~
S' 'lII'<:~
MASTER ELECTRICIAN
~~.~.
VALUE (Including labor and all materials incl
3/02