HomeMy WebLinkAbout0152325 - Electric (garage wiring) 0 CITY OF OSHKOSH No 152325
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 927 HARNEYAVE Owner CAROL L NORTON
Create Date 09/04/2012
Contractor RICK STEFFENS ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A
Type ❑ Overhead 0 Underground
Volts
-- Circuits Luminaires _
Amps Switches
Appliances --_ — Receptacles
Use/Nature of �SFR/GARAGE WIRING **check#1933
Work
Fees: Valuation _ \` $550.00 Plan Approval _ $0.00 Permit Fee Paid
r`J $32.00
Issued By: w11
Date 09/12/2012
❑ Permit Voided Parcel Id# 0805410000
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
Date
Agent/Owner
Address 1835 E EDGEWOOD DR STE 105#37 APPLETON WI 54913 -9325 _ Telephone Number (920)734-3755
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
Phone(920)236-5050
Fax (920)236-5084 o/1-1KO�
ON THE WAT_R
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑ q
//// DATE / ��
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JOB ADDRESS 2 7 R N e.y A-1 L
OWNER n
CONTRACTO /�", a 5 k �.2 isc CG7�►t eR a� R t k S+e ' %s (e C.
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CHECK®ALL APPLICABLE
US ATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New OTemporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Phase ( 2O I �(1� Receptacles# _3 Circuits# /
Amps 090 Switches# Fixtures#, 1
CHECK Fifl ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFurnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE(Including labor and all materials including light fixtures)$ �� a i°et2 - 07.0
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MASTER ELECTRICIAN..7" 3/02