HomeMy WebLinkAbout0130372-ElectricL'L`J
OSHKOSH
ON THE WATER
Job Address 226 W 15TH AVE
CI
ELECTRIC PERM
Owr
Contractor HOMEOWNER
Service New
Volts
Amps
Appliances
Change (~ Temp
Use/Nature of RES /Adding recepts.,
Work
Fees: Valuation $1,000.00 Plan Approval
Issued By: ~~
OF OSHKOSH No 130372
-APPLICATION AND RECORD
JEAN A WALTER Create Date 06/05/2008
612 -Residential-Single Family Addition/R Plan
Type Q Overhead Q Underground
s Luminaires
yes Receptacles
Permit Fee Paid 560.00
Voided
Date 6/6/2008
Parcelld # 0901900000
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 acknowlgdges 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 strq~ngly urges the permit applicant to contact the easement
holder(s) and tg~e re any necessary ap royals before starting sudh activity. //~
Signature ~ ,~~/yl.'~,~G~~^_ Date to
Address
r~yCnuvwner
OSHKOSH WI 5490 - 0000 Telephone Number
To schedule inspections please call the Inspection Req~jest line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), ACCSSS intoll 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 pertormed 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
All information aft
Incomplete app
• Application(s) and fee(s) can be brought to City I
Oshkosh WI 54903-1.128. Commencing work w
normal permit fee, which ever is greater.'
OR
JOB ADDRESS ~nC lO 1N ~ ~~
C
O1HKOIH
ON THE WATER
PERMIT APPLICATION
bold categories must be provided.
ications will not be processed.
ll, Room 205 or mailed to Inspection Services, PO Box 1128,
gout permit(s) will result in fees being doubled or $100.00 plus the
^ __
DATE
CHECK Q ALL APPLICABLE ',
USE CATEGORY
~ingle Family ^Duplex ^Multi-
SERVICE ^New ^Temporary ~I
^Change ^Not Applicable
FILL IN THE APPROPRIATE BLANK WITH
^Rental ^Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
^Underground _
NUMBER
Volts / Receptacles ~ # Circuits #
Phase
Amps Switches- # Fixtures #
CHECK ®ALL APPLICABLE
^Range dishwasher ', ~a rbage Disposal Dryer OWater Heater
Fan OR Blower ^Furnace ', ^A/
M
~ G~ ^Electric Sign
otors ^Gas Pumps
~, ^Ot her
DESCRIPTION OF ALL WORK BEING DONE ~, ~w
~ ~-1 t -tS ~ ~-c$1~ ''
', ~
VALUE (Including labor and all materials including lig ht fixtures) $~ ~ (~l~ r
,~
MASTER ELECTRICIAP~ /1.1i. ~.~ ~ ~-~
`-~""
3/02