HomeMy WebLinkAbout0140613-Electric (basement) CITY OF OSHKOSH No 140613
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1825 OHIO ST Owner LISA R BARKELAR Create Date 04/22/2010
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp • N/A Type OOverhead Q Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Fan
L.
Use /Nature of SFR\ Wiring basment to include bedroom, bath, closet, & family room. All wiring to follow current code requirements.
Work
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: / Date 4/22/2010
H Permit Voided Parcel Id # 1407700000
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 1 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 per pplication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec, any necess -ry approvals before startino such activity. /�
Signature .' A Date Y ,0 /
Agent/Owner
Address OSHKOSH WI 5490 - 0000 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 Of HKOf H
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 contractor participating in the Permit Fee Account System and have adequate funds, check here
f you want this processed through your account ❑
1 k
DATE ` 1 ao
JOB ADDRESS I 53 k
0
OWNER L t fjoL r u , z JC Cc r
CONTRACTOR "E v (� ► i
CHECK Fa ALL APPLICABLE
USE CATEGORY
'ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑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 lZ ALL APPLICABLE
D Range DDishwasher ❑Garbage Disposal DDryer DWater Heater
❑ Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
D SCRIPTION OF ALL WORK BEING DONE (,t) l r t Vi 9 I G4S-Q VYI.Q, o r -ea. •
„.raze r- c b c 4- >M c Ems,
VALUE (Including labor and all materials includi 1 ight fixtures) $ ISO Q --
MASTER ELECTRIC /,a., I
3/02