HomeMy WebLinkAbout0158829-Electric � CITY OF OSHKOSH No 158829
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1209 HARNEY AVE Owner CORY T TELLOCK Create Date 11/19/2013
Contractor HOMEOWNER _ Category 612-Residential-Single Family Addition/R p�an
Inspector Adam Krause
Service p New � Change � Temp � N/A � Type � Overhead 0 Underground '
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Volts Circuits Luminaires .
Amps Switches Receptacles
Appliances '
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Use/Nature of SFR\Adding 1 room, 1 bath,and a 1/2 bath to the second floor*2 x 8 floorjoists 16"o.c.spanning 14'.Adding a micro-lam to support
Work I,roof load. Engineering to be provided before rough-in.All work to be according to current code requirements.Assistance provided by
Leach Bros.
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: G� Date 11/19/2013
� Permit Voided ' Parcel Id# 0804560000
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�rform all work gursuant to rules goveming the described construction.
While the City of Oshkosh has n�.authority to enforce,e�sementfe�uctions of which it is not a party, if you perform the work
described in this permit�6ation within an f�asement,the ��nglq urges the permit applicant to contact the easement
holder(s)and to s�any necessary�S�ov,als ors acting�,s�h activity.
Signature /� %",`�� ��C� Date �/�
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AgenUOwner
Address OSHKOSH WI 5490- 5438 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 specifed 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.