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Home My WebLink About0155419-Electric t f- t j � CITY OF OSHKOSH No 155419 � � OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ` ON THE WATER 5 Job Address 1395 CANDLELIGHT CT Owner JAMES C/LORI A MICHAL III Create Date 05/03/2013 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R p�an ' Inspector Adam Krause Service New � Change � Temp � N/A Type � Overhead 0 Underground € Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of SFR/Finish bonus room '> Work , Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: Date 5/3/2013 � Permit Voided I Parcel Id# 1320517000 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 secu any necessary ap o als be rting such activity. Signature Date � `3 �� AgenUOwner Address OSHKOSH WI 5490- 7301 Telephone Number �ZV ' ��U� 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. z € k Z City of Oshkosh Division of Inspection Services � P.O.Box 1130 � ' Oshkosh,WI 54903-1130 ; Phone(920)236-5050 ` �� Fas (920)236-5084 �� ON THF WATFR 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 I/'vou are a contractor narticipatinQ in the Permit Fee Account Svstem and have ade uate funds check here if vou want this nrocessed through vour account ❑ " �� ` DATE JOB ADDRESS �� / `� OWNER �v ��1�° S �y%l�c�� CONTRACTOR CHECK 0 ALL APPLICABLE USE CATEGORY �ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable �iange ❑Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# / Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIP�TI�O�F ALL WORK BEING DONE ? o r-e,7`�e�s sf' VALUE(Including labor and all materials including light fixtures) $ MASTER ELECTRICIAN 3/02