HomeMy WebLinkAbout0133856-Electric (det. garage)CITY OF OSHKOSH No 133856
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 433 MONROE ST Owner LINDA M MONROE Create Date 11/06/2008
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change Q Temp ~ N/A Type ~ Overhead ~ Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of FR\ Wiring detached garage w/ 60 amp UG feed according to curcent code
Work
Fees: Valuation $700.00
Issued By:
Date 11 /6/2008
Permit Voided ~ Parcel id #0404160000
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 r)~¢essary approv/als be~ starting such activity.
Signature ,W{`/'~~~(.i -~ Date d ~ 'r'~~ ~d g
Agent/Owner
Address OSHKOSH WI 5490 - 5145 Telephone Number 279-0379
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.
Plan Approval $0.00 Permit Fee Paid $39.00
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.
o1HKO H
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 participatin in the Permit Fee Account System and have adequate funds check here
if you want this processed throu~your account ^
/ ,y~ DATE ~G-G~~ Of~
JOB ADDRESS '`~~.~ /~/OR4,~0~ ~~
OWNER ~1/~/L/ 0'/~/rf,ed~
CONTRACTOR G11~/~~(
CHECK B ALL APPLICABLE
U E CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE,~New ^Temporary TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ,Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /L U ! ? yo Receptacles #
Phase
Amps ~ (~ Switches #
CHECK B ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
Circuits #
Fixtures #
^Garbage Disposal ^Dryer ^Water Heater
^A/C ^Electric Sign
^ Other
DESCRIPTION OF ALL WORK BEING DONE_ G~/.C iA/d ~F % ~ % LH~D G ~~C~'G
VALUE (Including labor and all materials including light fixtures) $ 7o J
MASTER ELECTRICL~N ~Gd''~ ~ ~~~~~~~`~ ~°-~
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