HomeMy WebLinkAbout0128381-ElectricCITY OF OSHKOSH No 128381
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1776 HUNTERS GLEN DR Owner DANIEL J/GINGER M LENZ Create Date 01/07/2008
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp ~ N/A Type (~ Overhead (~ Underground
Volts Circuits
Luminaires
'fps Switches Receptacles
Appliances
Use/Nature of SFR1 Finishing off the basement to include a family room, rec. room, and bathroom. All wiring to be according to current code.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: ,~ ~--
[] Permit Voided
Date 1/7/2008
Parcel Id # 133167000(
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 if 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 sec4i e any roc ssary approvals before starting such activity.
Signature ~.( __..._ ..
t "' Date 1 ~ d
Address
Agent/Owner
OSHKOSH WI 5490 - 8966 Telephone Number 236-9318/ WORK-68
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 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.
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O1HKOIH
ON THE WATER
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 ] 28,
Oshkosh WI 54903-1.128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Accoaant System and have adequate fifnds check here
of you want thcs processed through voa~r account ^
,/~~ ,/~ DATE G#
JOB ADDRESS I`~?`7~~ ! l ~/~''~S C~ L~J' LJ
OWNER FAN i ~~~... -MI ~111~ ~7 ~ N~ ~-- ~ vZ.
CONTRACTOR ~~~
CHECK Q ALL APPLICABLE
U E CATEGORY
f Ingle Family
SERVICE ^New
^Chang
FILL IN THE APP
Volts /
Phase
Amps
^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
^Temporary TYPE ^Overhead ^Not Applicable
e ^Not Applicable ^Underground
ROPRIATE BLANK WITH THE NUMBER-
CHECK D ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
OMotors ^Gas Pumps
Receptacles #
Switches #
^Garbage Disposal
^A/C
^Other
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
DESC^RIIPTION OF ALL WO/~RK BEING DONE{ ~~•%$S ~f ~~~L9~i~ ~ C I/~Zt~~ /f~~~/vj
VALUE (Including labor and allrrmaterials including light fixtures) $ t tG~~~~
ty
MASTER ELECTRICIAN -~ -~-~-...--~"°~~
~.'-°°".
3/02