HomeMy WebLinkAbout0122679-Electric (smoke detectors) (c&I CITY OF OSHKOSH No 122679
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 931 ARMORY PL Owner SANDRA L WIESE Create Date 11/27/2006
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR\ Install smoke detectors and relocate switch for basement bedroom remodel.
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: c Date 11/27/2006
Permit Voided Parcel Id # 1308770000
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 goveming 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 necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address OSHKOSH WI 5490 - 6109 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
( filirr4
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone' (920) 236 -5050
Fax (920) 236 -5084 OIHKOIH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
•
. • 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 contractorparticinatinf in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuzh your account ❑ f / 61( DATE l ` 2
•
JOB ADDRESS (r 3 t ifrino
OWNER ...1)/ 4 q (� 7 127
CONTRACTOR
•
CHECK HALL APPLICABLE •
U TEGORY
/Mingle Family [Duplex [Multi Family DRental [Commercial ❑Industrial
SERVICE [New °Temporary TYPE °Overhead [Not Applicable
❑Change [Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK H ALL APPLICABLE
lJRange • ❑Dishwasher ❑Garbage Disposal [Dryer [Water Heater
OFan OR Blower ❑Furnace OA/C °Electric Sign
DMotors ❑Gas Pumps ❑Other j
DESCRIPTION F ALL WO BEING DONE 3- 6�It d7 JS
VALUE (Including labor and all ma • ials including light fixtures) $
MASTER ELECTRICIAN` .
IP
3/02
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