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Home My WebLink About0156199-Electric /�"� CITY OF OSHKOSH No 156199 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1506 SPRUCE ST Owner MATT S/ROCHELLE M PEMBLE Create Date 06/14/2013 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 new electrical outlets, lighting I Use/Nature of SFR/interior remodeling of electrical outlets and lighting associated with the interior remodeling of living and dining rooms Work � � I Fees: Valuation $600.00 Plan Ap roval $0.00 Permit Fee Paid $38.00 Issued By: � Date 6/14/2013 � Permit Voided i Parcel Id# 1205320000 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 individuais 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 secure an ssa approv before starting such activity. Signature — Date Lv�y�� AgenUOwner Address OSHKOSH WI 549a- 2839 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 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. 3 City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI54903-1130 Phone(920)236-5050 O.IHK01H Fax (920)236-5084 ON THF V✓ATFR " 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 ll28, 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 participating in the Permit Fee Account System and have adequate funds, check here � i�you want this processed throu�vour account ❑ DATE Lo-ly-�3 JOB ADDRESS /Sc�Cn Sn�j� � OWNER Mc,�r1�c� p��_ CONTRACTOR CHECK 0 ALL APPLICABLE USE CATEGORY �,�'Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead �IGot Applicable ❑Change �3Qot Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# IZ Circuits# d2 Phase Amps Switches# ..� Fixtures# J/ CHECK 0 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'l)�� 1�+.�-�.1 �,.�:r;..o. s.�:-� ��.�:..� (c.�N�c�.�s � �:�h�...c rs,ti,.��ti�:�_. ��r1 ��,n-.�� n��.el_�� D� VALUE(Including labor and all materials including light fixtures) $ �oC70 MASTER ELECTRICIAN 3/02