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Home My WebLink About2011-Electric . ® CITY OF OSHKOSH No 145753 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 333 ROSALIA ST Owner MICHAEL J /SHERYL M DREIKOSEN Create Date 05/05/2011 Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan Inspector Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances Use /Nature of SFR\ Interior Remodel *Electrical work in association with the interior remodeling project. Work Removing the lath and plaster on the 1st floor exterior walls to insulated and install new drywall. Remodeling the kitchen, bathroom and laundry room. All work to comply with current code requirements. Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00 Issued By: Date 5/5/2011 ff Permit Voided Parcel Id # 0205150000 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 an necessary ap royals before starting such activity. Signature ) _ Da 5---- Agent/Owner Address MICHAEL J /SHERYL M DREIKOSEN LOMIRA WI 5304 - 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 Oshkosh, WI WI 54903-1130 c 1117 5 ) Phone (920) 236 -5050 Fax (920) 236 -5084 Of HKOJH 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 ifyou want this processed through your account ❑ DATE S - l/ JOB ADDRESS 33 OWNER AU X.L f (CA // CONTRACTOR Xa/k/1-4 CHECK lZi 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 lZi ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign El Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE f � C iJ bait, /tU h 4'e'n / t o ne d VALUE (Including labor and all materials including light fixtures) $ 2 t 2 0 MASTER ELECTRICIAN 0Ia €p 3/02