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Home My WebLink About0156179-Electric (garage) � � � CITY OF OSHKOSH No 156179 � OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 119 W BENT AVE Owner DANIEL J/SARA L SMITH Create Date 06/13/2013 - k Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R plan Inspector Adam Krause : Service New � Change � Temp � N/A Type � Overhead � Underground � Volts Circuits Luminaires Amps Switches Receptacles Appliances arage door i i I I Use/Nature of SFR/installing new electrical to garage for outlets and garage door opened all work will meet state and local codes Work I � Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: -�c� Date 6/13/2013 Permit Voided ; Parcel Id# 1502890000 The undersigned,in applying for an Electric Permit to perform electrical work within a singie 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 E' described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and t ure any n ssa approval before starting such activity. Signature Date — �� ' � AgenUOwner Address OSHKOSH WI 5490- 2925 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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. i City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 01HK� vJ 1 1 pN Ff�lf 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$100.00 plus the normal permit fee,which ever is greater. OR 1/'you are a contractor partrcipatinQ in the Permit Fee Account System and have adeAUate firnds check here If y01[ �t�ant this processed throu�your account ❑ DATE (�`� - i 3 JOB ADDRESS I� fi SZ. OWNER �1'��1►�' � � _ I).�i'G. L- S�''Y1 r CONTRACTOR� CHECK 0 ALL APPLICABLE USE CATEGORY �ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Indusfial SERVICE `�1ew ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change ❑Not Applicable C�Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts '�� / Receptacles#�_ Circuits#� Phase � �rti Amps 1 � � Switches# � Fixtures# � CHECK�ALL APPLICABLE ❑Range ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C OElectric Sign ❑Motors ❑Gas Pumps ❑Other DESC PT10N OF ALL WORK BEING DONE �JG-� � � '� , Gv� VALUE(Including labor and all materials including light fixtures)$ �� MASTER ELECTRICIAN �'(�e� L�,�C� 3/02