HomeMy WebLinkAbout0103468-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 1017 NEBRASKA ST
Contractor TRUCK ELEC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLAIR L HASSELL
Category 634- Residential-Service Change
Amps 200
(~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103468
Create Date 08/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/Install 200amp OH service.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 08/12/2003
Permit Voided
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
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
Divisi°n of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O./HKO/H
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 you are a contractor participating in the Permit Fee Account Sgstem and have adequate funds, check here
if you want this processed through Four account []
CHECK [] ALL APPLICABLE
USE CATEGORY u~plex
[]Single Family
SERVICE ~P~nge
[]Multi-Family nRental
RECEIVED
FITemporary
FINot Applicable
A~G 1 1 200j
DEPART~iENT OF
COt'vlf~UNIT¥ DEVELOPMENT
F1Commercial []Industrial
TYPE E~53erhead
DUnderground
ElNot Applicable
FILL IN THE APPROPRIATE BLANK WITH TH~ NUMBER
Volts] ~ / ~ Receptacles #
Phase / ~
Amps ? t~'~ 0 Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
U1Range U1Dishwasher ElGarbage Disposal
F1Fan OR Blower nFumace nA/C
[]Motors []G~ Pumps FlOther
F1Dryer •Water Heater
FIElectric Sign
/
VALUE (Including labor and all~te~/
/ //
~4
3/02