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Home My WebLink About0158352-Electric; � CITY OF OSHKOSH No 158352 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1028 TYLER AVE Owner WENDY H MENZEL Create Date 10/18/2013 Contractor HOMEOWNER _ __ _ Category 612_Residential-Single Family Addition/R p�an Inspector Adam Krause Service New � Change � Temp 0 N/A � Type � Overhead � Underground _� Voits 1204/240 Circuits Luminaires Amps 200 Switches _ Receptacles Appliances — - i Use/Nature of SFR\Change living space layout according to attached site plan, raise structure and add 2 courses of block to foundation,frame�, Work ��Ibasement walls,replace cabinets and flooring,add bay window to living room.All work to be according to current code. � �— — - -- -- - ---- -- - � Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00 Issued By: �� Date 10/18/2013 ] Permit Voided ' Parcel Id# 1607440000 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 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 sec�re any n cessary pprovals before starting such activity. Signature `1/� Date � AgenUOwner Address �a_��T�r�9 r A v Q OSHKOSH WI 5490- 3465 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. City of Oshkosh Division of Inspection Services � . ; P.O.Box 1130 � Oshkosh,WI54903-1130 Phone(920)236-5050 I Fax (920)236-5084 �� --�1��;' �--� ELECTRICAL PERMIT APPLICATION All information aRer bold categories must be provided. Incomplete applications will not be processed. • Applicarion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI 5 4903-1 1 28. Commencing work without pernut(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR 11'vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here if vou want this processed throu4ph vour account ❑ DATE � � � �� JOB ADDRESS �� 2- � � f' �`t J �S� � OWNER CONTRACTOR C?w h Q � CHECK 0 ALL APPLICABLE USE CATEGORY �Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE �New ❑Temporary TYPE �Qverhead �Not Applicable �hange ONot Applicable DUnderground FII,L IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps $witches# Figtures# CHECK�ALL APPLICABLE �Range �Dishwasher ❑Garbage Disposal °�Dryer OWater Heater OFan OR Blower �Furnace ❑A/C OBlectric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE C.l y` ^L z�o � VALUE(Including labor and ail materials including light fiztures)� MASTER ELECTRICIAN'P � _ 3/02 � 0�' . . �