HomeMy WebLinkAbout0106144 EOSHKOSH
ON THE WATER
.lob Address 325 PEARL AVE
Contractor EISCH ELECTRIC INC.
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANNE B HILLENBRAND
Category 641 - Commercial-New Service
Amps 50
~) Temp
No 106144
Create Date 01/21/2004
Plan
Type IO Overhead ~ Underground
Circuits 1 Fixtures
Switches 0 Receptacles
Appliances
Use/Nature of Addition of a Service installed on the utility power pole located in front of the building at the terrace. The service is for Time Warner cable for a
Work powerr supply. Pole #169CC1.
Fees: Valuation
Issued By:
$600.00 Plan Approval $0.00 Permit Fee Paid $25.00
Date 01/21/2004
Permit Voided
Parcel Id # 0000000000
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
Agent/Owner
Address 1375 CONSTITUTION DR NEENAH WI 54956 - 0 Telephone Number
(920) 725-5080
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.
O/HKO./H
RECEIVED
J~N 2 ' 2OO4
DEPARTMENT OF
COt~iUNITY DEVELOPMENT
Electric Installa~io_n. Verification
(Electrical Contractor Name)
(Address) (Ci~) (State) (Zip Code)
have been con~acted to peffo~ elec~c installation work f~r ~ ~- ~~ ~ ~me ofpa~y con~acted to~
at the following address: ~ ~ ¢~
(Ad,ess where work ~11 be perfo~ed) '
The nature of the work consists of: (Check One or Describe the Nature o£Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Recormection or new circuit for replacement Electric Water Heater.
Recormection of the Service Entrance Cable, Meter Box, alterations ~O?ceptactes and
' lighting fixtures due to siding / soffit installation. Note: New Service Entrance
tableS Will require a separate Permi[ ,
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other ~) ,/~
Ole , ,/6qccl
The value of this work is $ ~2~7) '~)~).
I hereby verify this work will be performed by an employee of this company and further verify the
recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
(Print Name of Officer) (Date)