HomeMy WebLinkAbout0127919-Electric
e
OSHKOSH
ON THE WATER
Job Address 2211 VINLAND ST
CITY OF OSHKOSH
No
127919
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TYLER J HOYT
Create Date 11/21/2007
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
. N/A
Type
o Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR\ Full house rewire according to current code.
Work
Fees: Valuation $2,800.00
Issued By: ~ ~
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 11/21/2007
o Permit Voided I
Parcelld # 1219623200
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 an~ n cess approvals before starting such activity. / /
Signature Date I J 2.., '/_ G 7
AgenUOwner 7
Address
OSHKOSH
WI 5490 - 1853
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 jf 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 to Inspection Services, POBox 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 YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if yoU want this processed through your accountD
JOB ADDRESS? '2 II V l'A IIiJ~
OWNER '7 W H ~)1.
CONTRACTOR --
DATE II / "-1/07
I I
CHECK 0' ALL APPLICABLE
USE CATEGORY
)&lSingle Family
SERVICE DNew
o Change
DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
DTemporary
~ot Applicable
TYPE DOverhead ~Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
fvll
r-<.. w\uirj
of ~uv5-t
VALUE (Including labor and all materials including light fixtures) $ '2? 00
MASTER ELECTRICIAN ~ ~ Lu l--.lc., J.,
3/02