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HomeMy WebLinkAbout0153203 - Electric (receptacales) CITY OF OSHKOSH No 153203 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Owner ETHON M KRUEGER Create Date 10/2512. -- 012 Job Address 1827 MITCHELL ST -- -- Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause _ 0 Underground i Service 0 New 0 Change 0 Temp • N/A 1 Type O Overhead Volts --- 120 Circuits Luminaires Switches Receptacles 8 Amps — Appliances ossible two electric baseboard heaters Use/Nature of SFR/receptacles for the new bedrooms in basement along with can lights and switches to operate the lights/all wiring will be UDC code1 Work complying Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $25.00 --- Date 10/25/2012 Issued By: Permit Voided i Parcel Id# 1217680000 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 ure any ne es�'ary approvals before starting such activity. ` / - �� Date k(2,j// Signature / lam'J fir 'A___-.-- ; 1 Agent/Owner Address OSHKOSH WI 5490- 2160 Telephone Number 235-0512 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 Division sion of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 OfHKOJH 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 /04,25//,01- JOB ADDRE SS /SA M 46-11e/IS - I OWNER 11G'Y) /47-)/-1 K oer6Y. CONTRACTOR )1,1 CG<JrJ CHECK H ALL APPLICABLE 1 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 IaO / Receptacles# u Circuits# Phase Amps Switches# Fixtures# CHECK Q ALL APPLICABLE ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other_'O63r h/e e?dyr - is Y ci DESCRIPTION OF ALL WORK BEING DONE /Oz.?' raO Pr — !mil S w/ - G`t ✓1-67.`vr1 (ari/eAcs yow r fzi vo VALUE(Including labor and all materials including light fixtures) .106 ° MASTER ELECTRICIAN 3/02