HomeMy WebLinkAbout0155508-Electric (garage) � CITY OF OSHKOSH No �ss5os
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 928 HARNEY AVE Owner CAROL S HENRY Create Date 05/08/2013
Contractor FAITH TECHNOLOGIES, INC. Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A _ Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
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Use/Nature of FR/RUNNING NEW WIRE TO GARAGE,RECONNECTING POWER TO GARAGE AND HOME **check#981922
Work �i
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Fees: Valuation $803.40 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By:�_� Date 05/08/2013
❑ Permit Voided � Parcel Id# 0805230000
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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.
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City of Oshkosh
Division of Inspection Services �
P.O.Box I 130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 {� ,)����;,�� �����
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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 54903-1 1 28, Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
if yfi�t� clr� ty cor�trac'�vr p�trticr,�atin�� ia tht,> P�rrai! f�c�e �ic�c�t�n1 ,Sv�rem crnrl �rcr��� acleyirnt� 1��ryr�is. c;heck l�ere �
�vou want this processecl throu�h vour account ❑
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CHECK G1 ALL APPLICABLE
[� F CATI:GORY
Single �`amily ❑Duplex C7Multi-Family ❑Rental OCommercial OIndustrial
SERVICE ❑New ❑Temporary TYPE C�Uverhead ONot Applicable
OChange �Not Applicable �Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits# '
Phase
Amps 12-� L�� C��;3(�"�;�,���� Switc6es# Fixtures# ��
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CHF,CK 0 ALL APPLICABLE
ORange ODishwasher �Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFumace �A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE � ( 'I�ij't ����.�}� �,�,.�r„ �'`��`s�{'� ��` ��'i� � `� ��-
, �� ,�-1$ �--�
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VALUE(Including labor and all materials including light fixtures) �UtJ�� � T �} __
MASTER ELECTRICIAN
3/02