HomeMy WebLinkAbout0155151 - Electric (interior wiring) CITY OF OSHKOSH No 155151
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1535 SANDERS ST Owner LOREN R DIECK Create Date 04/18/2013
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan _
Inspector Adam Krause
Service p New 0 Change 0 Temp • N/A 1 Type O Overhead 0 Underground J
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances 'washer/dryer
Use/Nature of SFR/interior electrical wiring for lights and additional outlets for laundry in basement/all work will meet state and local codes
Work
Fees: Valuation $500.00 Plan Approval _ $0.00 Permit Fee Paid $30.00
Issued By: z .. Date 4/18/2013
n Permit Voided J Parcel Id# 1305060000
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 secur- -, y necessary a•_ ovals :-fore starting such activity.
Signature Date f//1-‘�.1
Agent/Owner
Address OSHKOSH WI 5490- 6361 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 EDJHKOJ H
Fax (920)236-5084
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 ❑ (y (7 /
DATE l/i d l /3
JOB ADDRESS / •S J 7 Solid G'f C S
OWNER L.U feel DitcK
CONTRACTOR.
CHECK 0 ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits# Z
Phase
Amps Switches# I Fixtures# 2....
CHECK®ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal fibryer ❑Water Heater
❑Fan OR Blower DFurnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
2 (Add/1;0,19j /ijl'1�S YZ7 --ferv/ce ��cu, ljy C;t/�°,e1J ' Ih�lnl f€C ef,'
( 5' live -12.t�0
VALUE(Including labor and all materials including light fixtures) $ -)G)0
MASTER ELECTRICIAN
k113
3/02