HomeMy WebLinkAbout0152067 - Electric CITY OF OSHKOSH No 152067
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2510 A HAVENWOOD DR Owner EUGENE H/NANA L VOGEL Create Date 08/30/2012
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R
Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A
Type 0 Overhead 0 Underground
Volts
Circuits Luminaires
Amps Switches
Receptacles
Appliances (smoke detectors and recess lighting/recepticles
Use/Nature of SFR/basement remodel to include outlets,recess lighting and smoke detectors
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid
$25.00
Issued By: �`
Date 8/30/2012
0 Permit Voided Parcel Id# 1631000800
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 se e any necessary approvals before start' g such activity.
Signature '
% Date p :?o
Agent/Owner
Address OSHKOSH WI 5490- 5706 Telephone Number CONDO UNIT
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
ON ELECTRICAL PERMIT �K R
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
ou are a contractor .artici.atin. in the Permit Fee Account S stem and have ade•uate unds check here
i ou want this nror sed throe h our 0
JOB ADDRESS 251-0A DATE E. 3 l Zi
f-�s�VC J wvoX) Dlz
OWNER L - n1C Vocre C_
CONTRACTOR
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex OMulti-Family ORental OCommercial °Industrial
SERVICE ONew OTemporary TYPE DOverhead
DChange DNot Applicable DNot Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
---�-- Circuits# Z
Amps Switches# 2—
Fixtures#
----------
CHECK ALL APPLICABLE
ORange DDishwasher OGarbage Disposal
OFan OR Blower OFurnace DA/C ODryer ❑Water Heater
❑Motors OGas Pumps ❑Electric Sign
P s OOther
DESCRIPTION OF ALL WORK BEING DONE p›177/)A)
SEaVlce- 'A-SE r .6rc1T A!! ,t) o r -; A)
Z.(G- fS (Z o1A--r t.
VALUE(Including labor and all materials including light futures)
MASTER ELECTRICIAN
3/02