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Home My WebLink About0154045 - Electric (renewal) CITY OF OSHKOSH No 154045 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 142 W 23RD AVE Owner JAMES/BRENDA CHESTER Create Date 12/31/2012 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service New 0 Change O Temp • N/A Type O Overhead 0 Underground _ J Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of RES/Renewal of permit#135317 for a bathroom remodel. Work Fees: Valuation $ .1.00 Plan Approval $0.00 Permit Fee Paid $25.00 Issued By: . Date 12/31/2012 Permit Voided I Parcel Id# 1402770000 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 .ty of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and t e any necessary approvals before starting such activity. Fi Signature Date (Z IZ Agent/Owner Address OSHKOSH WI 5490- 7037 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 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 OJHKOIH 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 JOB ADDRESS V12. W 24, .Z1 OWNER'S(rA CfritebTEQ__ CONTRACTOR CHECK 0 ALL APPLICABLE SE CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE Overhead ❑Not Applicable ❑Change Not Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK 63.ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater DFan OR Blower ❑Furnace DA/C DElectric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONEI O`ce2..M IT 4-1 S l 7 VALUE(Including labor and all materials including light fixtures) $ MASTER ELECTRICIAN 3/02