HomeMy WebLinkAbout0157901-Electric (entry/storage area) � CITY OF OSHKOSH No 157901
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 972 E SUNNYVIEW RD#37 Owner KENDALL&PATTY ROGERS Create Date 07/17/2013
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A � Type � Overhead � Underground �
Volts Circuits Luminaires 2
Amps Switches 3 Receptacles 1
Appliances
-- — - �
Use/Nature of SFR\Wiring for entryway/storage area
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: _� Date 9/24/2013
T�J
� Permit Voided '- Parcel Id# 1560000000
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 acknowiedges per City Municipal Code Section 11-22,that other
individuais 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,t e City strongly urges the permit applicant to contact the easement
holder(s)and to secure any ssary approv Is bef arting such activity.
Signature � Date� ( �`� `�j���
AgenUOwner
Address Oshkosh WI 5490- 1326 Telephone Number Lakeview Mobile Hon
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 54903-1 1 30
Phone(920)236-5050 01HKOlH
F� (920)236-5084
ON THF WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
Irvou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate fitnds check here
if vou want this processed throu�vour account ❑ �
DATE ( ��pZo /�
JOB ADDRESS �-c -� ✓ /�c'� !�' 3�
OWNER � c / '� �,�'
CONTRACTOR
CHECK Lf ALL APPLICABLE
U�CATEGORY
Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �ew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ��U/ Receptacles# � Circuits#
Phase
Amps�D Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE__ y � h e I�L!-rr C L✓ �`�� �ti-��i� <1�Y
--�, L> >'-��.�5 � !�G ti�f 5 �e��_�J-���� �
VALUE(Including labor and all materials including light fixtures)$ �c�'l.,'
MASTER ELECTRICIAN �J C,���,`Q�
3/02