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Home My WebLink About0157080-Electric (pool) � CITY OF OSHKOSH No 157080 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1234 BROAD ST Owner WAYNE/CHRISTINE M EDGE Create Date OS/06/2013 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R plan Inspector Adam Krause Service New � Change � Temp � N/A Type � Overhead � Underground Volts Circuits 3 Luminaires 1 Amps Switches 1 Receptacles 5 Appliances I Use/Nature of jSFR\Installing recepts and lights around pool Work Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00 Issued By: �� Date 8/6/2013 � Permit Voided I Parcel Id# 1508140000 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 empioyed 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 permit appl� tion within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to s y�e �necess appro ef re starting such activity. !' �Q Signature Date v AgenUOwner Address OSHKOSH WI 5490- 3930 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. 1 City of Oslikosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI54903-1130 Phone(920)236-5050 F� (920)236-5084 �f HKOf H � 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 9ccount Svstem and have adequate funds check here f vou want this processed throu�your account ❑ DATE�l� � l JOB ADDRESS � � �� `�'=4�� S� ` OWNER W ��Q�1�1�.� ��` CONTRACTOR CHECK Ef ALL APPLICABLE USE CATEGORY �Single 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 � 3 Volts �0�� / Receptacles# 5 Circuits# Phase Am s � �� 1��-,�1� Switches# � � P �. Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motars ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE �(�� l S'�1�C� ��04 C� � t,jc'�- �� Cr-�� lJv� �� s � �R � �( /_ /�' oc� VALUE(Including labor and all materials including light fixtures) $ U�L�/ MASTER ELECTRICIAN�,�� , T'' � 3/02