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Home My WebLink About0156167-Electric (renew #148848) � CITY OF OSHKOSH No 156167 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1319 OSHKOSH AVE Owner DANIEL W JENSEN Create Date 06/13l2013 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R p�an Inspector Adam Krause Service New � Change � Temp � N/A � Type � Overhead � Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances —�, I ; I I Use/Nature of SFR/Renewing permit#148847-Remodeling 1st floor bathroom and adding 2nd floor laundry area. Drywalling and finishing. Work ' Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Issued By: �'i� Date 6/13/2013 ❑ Permit Voided � Parcel Id# 1600250000 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 p it applicati ithin an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to e y necessa approvals before starting such activity. Signature Date - Agent/Owner Address OSHKOSH WI 5490- 2632 Telephone Number 920-948-7631 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of I'nspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specifed 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 54903-1 1 30 Phone(920)236-5050 F� (920)236-5084 01HK01H ON THF WATFR � ELECTRICAL PERMIT APPLICATION All inforrr►ation 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 adequate,funds, check here iJ vou want this processed through vour account ❑ DATE ' �� JOB ADDRESS � ,�� SSI/L It�i�j� OWNER �� n s� CONTRACTOR �� CHECK H ALL APPLICABLE U�CATEGORY OSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE �N ❑Temporary TYPE ❑Overhead ❑Not Applicable hange ❑Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑��ge ❑Dishwasher ❑Garbage Disposal UdDryer ❑Water Heater L�d'Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE�/ G,�y,�o6jf`ki I�(bcs�ni► ��.,rf c�G�/`C��y� VALUE(Including labor and all materials including light fixtures)�•��/ MASTER ELECTRICIAN 3/02