HomeMy WebLinkAbout0103451-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1636 GEORGIA ST
Contractor HOMEOWNER
Service IQ) New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL G/JOANN KEEN
Category 634- Residential-Service Change
~Change ~Temp Type
Circuits 0
Switches 0
No 103451
Create Date 08/12/2003
Plan
Overhead (~ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of 3/12/03 service change to 200 amps
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00
Permit Fee Paid $40.00
Date 8/12/03
Permit Voided
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 necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address OSHKOSH WI 5490 - 6738 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.
OSHKOSH
ON THE WATER
JobAddress 1636 GEORGIA ST
Contractor HOMEOWNER
Service ~ New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL G/JOANN KEEN
Category 634- Residential-Service Change
(~) Change (~ Temp I Type (~ Overhead
Circuits 0
Switches 0
No103451
Create Date 08/12/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ~/12J03 service change to 200 amps
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid $40.00
[] Permit Voided
Date 8/12/03
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 pumuant 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 ~f~y/necessary appr/ov.~_ before starting
such
activity.
Signature ~ //~,~//~-.~.~ /~/'2J~/~.___ Date ~--/'~ 'l?~
/ Agent/Owner
Address OSHKOSH WI 5490- 6738 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.