HomeMy WebLinkAbout0157174-Electric VOID VOID VOID � CITY OF OSHKOSH No 157174
OSHKOSH ELECTRIC PERMIT -APPUCATION AND RECORD V O I D
ON THE WATER
Job Address 3251 MOCKINGBIRD WAY Owner THEODORE A/PAMELA K MILLER Create Date 08/12/2013
Contractor HOMEOWNER Category 612-Residential-Single FamilyAddition/R p�an
Inspector Adam Krause --
Service New � Change � Temp � N/A Type � Overhead _ � Underground
Volts 110 Circuits _ _ 3
Luminaires 8
Amps 15 Switches 3 Receptacles 10
-- _
APPliances — - -- -- -
I �
,
Use/Nature of FR/wiring for basement remodel projecU all work will meet state and local codes
—--- ---- __
Work __ - - -
:
Fees: Valuatio
— - _- - -- -
� $700.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By:
Date S/12/2013
0✓ Permit Voided � Parcel Id# 1336180000
The undersigned,in applying for an Electric Permit to perform electricai 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 permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address THEODORE A/PAMELA K MILLER OSHKOSH WI 5490- 7333 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 pertormed within two business days from the time the project is ready.