HomeMy WebLinkAbout0141010-Electric (misc. alterations) CITY OF OSHKOSH No 141010
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 858 VINE AVE Owner DAVID A PIZON Create Date 05/17/2010
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
0 0 g Temp • Type 0 0 Underground
New Change Tem N/A T Overhead Under round
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR\ Adding recepts. to 2 added non - bearing walls. Moving switch in bath. Adding sub -panel to add breaker space. All wiring will adhere
Work to current code.
Fees: Valuation $500.0 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: �1 Date 5/17/2010
D Permit Voided I Parcel Id # 0503200000
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 secureany necessary royals before starting such activity.
Signature OWN,- Date
VV
"1 7r Agent/Owner
Address %5 lJ i/1JC OSHKOSH WI 5490 - 3666 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 HKO.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
if you want this processed through your account ❑
DATE J' / 1 7 ! 1
JOB ADDRESS N6 AVEN
OWNER D A-V 11D ( P11-0/0
CONTRACTOR
CHECK El ALL APPLICABLE
USE 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 / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK 1Zi ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE APP '1 W c /JON— S i/NOR 1NG W,MM,,_
ADD IA! s- C-1 RICA- 1REC EP'[ Ac. L.65 ( 2 Se-4 s o 2.) (N 8 AC14 W4LL.,
Tw c Li orr S L rtc To /1i6 W C i RC o r OA/ 5 JB RIM/at-
VALUE (Including labor and all materials including light fixtures) $ 5 O0 00
MASTER ELECTRICIAN D, 4 U 1 l� ? ► 2-o J
3/02