HomeMy WebLinkAbout0133342-ElectricCITY OF OSHKOSH No 133342
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 37 STONEY BEACH RD Owner STEVEN D HAMP Create Date 09/04/2008
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change ~ Temp ~ N/A I Type Q Overhead ~ Underground
Volts 120/240 Circuits 19 Luminaires 14
Amps 200 Switches 22 Receptacles 45
Appliances
UselNature of
Work
., G.D., dryer, fan, fum, A/C
Entire house gut and rewire. All wiring and electrical installation to meet current code.
a discussion at the counter with the owner, Allyn and Adam, the owner plans to reside in the home after occupancy is granted.
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $100.00
Q Permit Voided
Date 10/7/2008
Parcel Id # 1413340600
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 any neces ry approvals bef re starting such activity.
Signature ~._...'`_~....~fu-~. „~ ~,~ Date ~d " ~ -
Address OSHKOSH WI 5490 - 7240 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 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.
L
01HKO1H
ON THE WATER
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WL-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
I~you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if you want this Drocessed through your account ^
DATE I0 ~ 7 ~ ~o
JOB
'c
OWNER_ S~~ (CAI f7A/VII
CONTRACTOR ~ E L r
CHECK B ALL APPLICABLE /:. ~ ~
USF~.CATEGORY .
mgle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ^Not Applicable
G~Change ^Not Applicable underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 7i~0 l ~ Z.O Receptacles #~S Circuits #
Phase ,~S/N L~r`_ .
Amps 2 p~1- Switches # ~ ~- Fixtures*#
CHECK El ALL APPLICABLE
~nge C''[IDishwasher C~Garbage Disposal L~Diyer ^Water Heater
Cr7~'an OR Blower CJ'Furnace Q~A/C ^Electric Sign
^Motors ^Gas Pumps ^Other ~ .:',~~:.
DESCRIPTION OF ALL WORK BEING DONE (LEltJl Rlt/ b- Jil! SI'b~ yr' ~OGtS~
~~
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t.:
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SOD
VALUE (Including labor and all material ncluding light fiztures) Z .~C~a
MASTER ELECTRICIAN
3/02