HomeMy WebLinkAbout0133351-Electric (wire garage)CITY OF OSHKOSH No 133351
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 506 BALDWIN AVE Owner CHRISTOPHER R VOLKMAN Create Date 10/08/2008
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change Q Temp ~ N/A Type Q Overhead Q Underground
Volts Circuits 2 Luminaires 4
Amps Switches 1 Receptacles 3
Appliances
Use/Nature of
Work
new garage.
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By
^ Permit Voided ~
Date 10/8/2008
Parcel Id # 1109140000
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 tore ~~~sary approvals before starting such activity. /~ ~/~
Signature Date
Address
Agent/Owner
OSHKOSH WI 5490 - 3907 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.
O HKOlH
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 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 Svstem and have adeguate funds check here
if you want this processed through Your account ^
JOB ADDRESS J U b ~a ~ G[ W - y~ ~l~
OWNER ~h ~' - S 1/Old
CONTRACTOR
CHECK H ALL APPLICABLE
USE CATEGORY
I~JSingle Family ^Duplex ^Multi-Family
SERVICE ®New ^Temporary
^Change ^Not Applicable
DATE / ~" d ~zJUO
^Rental ^Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
(Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /
Phase
Amps i Z O
CHECK H ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
Circuits # Z--
Fixtures #
^Dryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE (N~1~r9 0. ,N2itiJ (7~-rA~
--~
VALUE (Including labor and all materials including light fixtures) $ /(/ d~ ~V
MASTER ELECTRICIAN /~IGlnd~rc~ Olt~`yjA,.,
Receptacles #
Switches #
^Garbage Disposal
^A/C
^ Other
3/02