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Home My WebLink About0155965-Electric (hot tub) � CITY OF OSHKOSH No 155965 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1927 FABRY ST Owner RANDY M/REBECCA M JOHNSON Create Date 06/04/2013 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R p�an Inspector Adam Krause Service New � Change � Temp � N/A Type � Overhead � Underground I Volts Circuits Luminaires Amps Switches Receptacles Appliances I Use/Nature of SFR/Wiring for hot tub. Work Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: � ,D�� Date 6/4/2013 T�y � Permit Voided I Parcet Id# 1412370000 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 th's permit ap ' ion ithin an easement,the City strongly urges the permit applicant to contact the easeme holder(s)and o secure ny e sa approvals before starting such activity. Signature Date " J7'"� AgenUOwner Address OSHKOSH WI 5490- 6735 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 Buiiding 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 01HKO.IH � 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$100.00 plus the normal permit fee,which ever is greater. OR < If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate fi�nds, check here ° if vou want this processed throu�h vour account ❑ DATE � ' �'" �� JOB ADDRESS I � � � ��`��'"f �7� : OWNER ��'�l�I J � ��)0�1 : CONTRACTOR CHECK 0 ALL APPLICABLE U E CATEGORY �ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change ❑Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE VALUE(Including labor and all materials including light fixtures)$ �f� � � MASTER ELECTRICIAN %D Up� �� I g�'1 3/02