HomeMy WebLinkAbout0158915-Electric � CITY OF OSHKOSH No 158915
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1650 IOWA ST Owner ARLIS R MARKEL Create Date 11/26/2013
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A � Type � Overhead � Underground I
Volts Circuits 16 Luminaires 20
Amps Switches 35 Receptacles 50
Appliances '
Use/Nature of SFR\Rewire entire house.All work to meet current code requirements
Work
�
Fees: Valuation $6,000.00 Plan Approval $0.00 PermitFee Paid $155.00
Issued By: Date 11/26/2013
� Permit Voided !, Parcel Id#0908510000
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 secure any necessa ap rovals befor rting such activity.
Signat"�--`�j��n ,, Date _ —
AgenUOwner
Address ARLIS R MARKEL OSHKOSH WI 5490- 6803 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.
S
City of Oshkosh
Division of Inspection Services � �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O�u�(O�u
I II\ I I
ON 7HF 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
� If vou are a contractor narticipatinQ in the Permit Fee Account Svstem and have ade uate fitnds check here
if vou want this nrocessed throu�your account ❑
DATE ��1a��i3
JOB ADDRESS I CQ�iI.J �L�,►� �j� � � (`�h k,0�
OWNER `����C�L1�1 I�-Q(,
CONTRACTOR (�1��.(�
CHECK H ALL APPLICABLE
USf�CATEGORY
f�mgle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE C�'IVew ❑Temporary TYPE �Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �°�d �V Receptacles# L;�� Circuits#- l �
Phase ,2 _�
Amps � �c�,�,g�� Switches# -��J'� Fixtures#��
CHECK�ALL APPLICABLE
L� ge C3Dishwasher LiJC;arbage Disposal �ryer �'Water Heater
�an OR Blower ❑Furnace G7�/C ❑Electric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE��,-_1.��Y� fl a,�.�l pO ;C �j�p .c j (��,c� f�1�1.(,SQ_,
VALUE(Including labor and all materials including light fixtures) $ �_
MASTERELECTRIG� —��lo��i��� �, ��
3/02