HomeMy WebLinkAbout0128269-Electric
o
OSHKOSH
ON THE WATER
Job Address 1329 W SOUTH PARK AVE
CITY OF OSHKOSH
No
128269
ELECTRIC PERMIT- APPLICATION AND RECORD
Owner
ROBERT A1L1SA A CONVERY
Create Date 10/04/2007
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
Amps
Circuits
Luminaires
Switches
Receptacles
Appliances
Use/Nature of ~FRI Wiring 3 car garage & mudroom with upper master-bonus room and adjoining space with 100 amp subpanel, 50 amp hot tub;
Work emodel kitch & din. rm. All wiring to meet current electrical code.
:::~d :Ua1~
$3,800.00
Plan Approval
$0.00
Permit Fee Paid
$111.00
Date 12/26/2007
o Permit Voided I
Parcelld # 1307240000
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 securrJany ~ce;7sa'1approvals before starting such activity.
Signature J~ ~ ~ Date
Agent/Owner
Address
OSHKOSH
WI 5490 - 6643 Telephone Number 426-1875
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
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 I 128,
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
! ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
ifvou want this lJrocessed through vour account 0
JOB ADDRESS 13 ;E. (N( )()<pf( p au)L ~\E.
OWNER f)h~..,- t LI fit- C[)~'\v'-ev1
CONTRACTOR 16. ~JrJ- CtJI\ 0-c, 1/' '1.
DATE l?-;)lr-GJ 7
CHECK It1 ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ONew
OChange
ODuplex
OMulti-Family
ORental
OCommercial
OIndustrial
OTemporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
ODishwasher
OFurnace
ODryer OWater Heater
OElectric Sign
3 tfJrJ, c3 D
VALUE (Including labor and 4z:'s includi~..
MASTER ELECTRICIAN K6 .,j-'a
3/02