HomeMy WebLinkAbout0157391-Electric (misc. interior & exterior) � CITY OF OSHKOSH No 157391
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1303 WAUGOO AVE Owner NANCY J BARTELT Create Date 08/23/2013
Contractor MY ELECTRIC CORP Category 623-Residential-Duplex Addition/Remode Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead 0 Underground
Volks Circuits Luminaires
Amps Switches Receptacles
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Apptiances - -- - .
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UselNature of DUPLEX/WIRING FOR ONLY THE FOLLOWING 1 SUBPANEL, 1 ST FLOOR LAUNDRY RCPT&ELECTRIC DRYER RCPT, DINING
Work OOM RCPT UNDER WINDOW,EXTERIOR RCPT ON WEST FACE OF HOUSE,SURGE SUPRESSERAND 1 PORCH RCPT
*check#19010 I
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
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Issued By:���-i i—FL _ _ Date 08/23/2013
❑ Permit Voided �I Parcel Id# 0205400000
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 :
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holder(s)and tq se�urs any nece rovals b ing such activity.
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Signature .�'" Date r� �-,3 ��
AgenUOwner .
Address 6012 KOELPIN RD OSHKOSH WI 54902 -9117 Tetephone Number (920)231-0707
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.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 O HKO H
Fax (920)236-5084
ON THE WA7ER
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-ll28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal pernut fee, which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through your account ❑ ;
DATE8/23/2013
JOB ADDRESS1303 Waugoo Ave/
OWNER Nancy Bartelt
CONTRACTORMY Electric Coro.
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex OMulti-Family �Rental ❑Commercial ❑Industrial
SERVICE ❑New �Temporary TYPE ❑Overhead �Not Applicable
❑Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fia�tures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
Wirin� of only the followin :g 1 subpanel, 1 St floor laundr�rcpt & electric dryer rcpt. dinin�
room rcpt under window, exterior rcpt on west face of house, surge supresser 1 porch rcpt.
VALUE(Including labor and all materials including light fiatures)$2000.00
MASTER ELECTRICIAN
3/02