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0153000 - Electric (wiring new garage)
CITY OF OSHKOSH No 153000 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 801 MASON ST Owner ARTHUR L/JUDITH A HELM TRUST - Create Date 10/17/2012 Contractor BRENNAN, DENNIS Category 611 -Residential-New Single Family Wirin Plan Inspector Adam Krause Service 0.New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts 120 Circuits 1 Luminaires 3 Amps 20 Switches 1 Receptacles 3 Appliances Use/Nature of Wiring new garage. Work Fees: Valuation . 0 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: „�. Date 10/17/2012 Permit Voided Parcel Id# 0606900100 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 s cure any nece ary approvals before starting such activity. Signature Date Agent/Owner Address 1423 RAINBOW DR OSHKOSH WI 54902 -2648 Telephone Number (920)232-7237 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 I n of Inspection Services (/�1 P.O.Box Oshkosh,WI WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 Of HKEI JH 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 l U / l 7 1 l ti JOB ADDRESS b © l riN Aso N OWNER CONTRACTOR 0 t%N N t S 13 2 e/•1 f-J CHECK 0 ALL APPLICABLE USE CATEGORY l Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable ❑Change CEINot Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts )Nc) / Receptacles# 3 Circuits# I Phase Amps 20 Switches# Fixtures# 3 CHECK®ALL APPLICABLE ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign O Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE W t 2 tit 6 6 Prn-kt,e - 1.11- w3 ( %t-cd+ iV4Ct.I%S V 14 iLdt Csi2u,;Na VALUE(Including labor and all materials including light fixtures) $ S-0 MASTER ELECTRICIAN V J � 3/02 213 '