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Home My WebLink About0144937-Electric #1411,1014- CITY OF OSHKOSH No 144937 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 935 MOUNT VERNON ST Owner RICHARD A BOESE Create Date 02/18/2011 Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan Service 0 New U Change 0 Temp • N/A Type O Overhead 0 Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances Range, D.W., dryer, W.H., furn, A/C 1 Use /Nature of SFR\ Interior remodel after the fact permit. All wiring to meet current code requirements Work Fees: Valuation $800.00 Plan Approval __ $0.00 Permit Fee Paid $46.00 Issued By: 4 - Date 2/18/2011 ❑ Permit Voided Parcel Id # 1001830000 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 necessary approvals before starting such activity. Signature Q Date Agent/Owner Address RICHARD A BOESE 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 0 �� O �� Fax (920) 236-5084 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 -'y- JOB ADDRESS y3t NAt . off( 004 OWNER liciiar .E,• )e:R. CONTRACTOR 01A- e r CHECK El ALL APPLICABLE U E CATEGORY ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead 14g Applicable ❑Change — (let Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Circuits # Phase Amps Switches # / Fixtures # CHECK BI ALL APPLICABLE Range ,'Dishwasher ❑Garbage Disposal liipryer RWater Heater DFan OR Blower kFurnace RA/C DElectric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE 2 - l p r e a 41 — / d , ' 94 t a C/ VALUE (Including labor and all materials including light fixtures) $ ©O_ MASTER ELECTRICIAN g z 3/02