HomeMy WebLinkAbout0103762-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 445 HAZEL ST
Contractor DREXLER ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CAROL A WILLIAMS
Category 634- Residential-Service Change
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103762
Create Date 08/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/RENTAL/Service upgrade from 2 meter to 3 meter.
Work
Fees: Valuation
Issued By:
$1,820.00 Plan Approval
$0.00 Permit Fee Paid $60.00
Date 08/27/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
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
Division of Inspection Services
EO. Box 1 I30
Oshkosh, WI 54903-I I30
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
Appli6ation(s) and fee(s) can be brought to Cit~ Hail, Room 205 or mailed to Inspect/on 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 particivatin~ in the Permit Fee Account $~stem and have adequate funds, check herr
if you want this processed through your account []
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CONTRACTOR D(2-,~-'~(..,~'-~ ~..L:rC;! lr~t C
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CHECK ~I ALL APPLICABLE
USE CATEGORY
[Single Family ~Duplex [Multi-Family
SERVICE FINew [Temporary
~Change DNot Applicable
Mental F1Commercial [Industrial
TYPE,,,~tl~v~head ? []Not Applicable
[Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~/olo / '~ Receptacles # '-'
Phase
Amps 2.~>o Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
12Range F1Dishwasher 12Garbage Disposal
IZlFan OR Blower DFurnace r"IA/C
[Motors []Gas Pumps E]Other
FIDryer
F1Electfic Sign
DWater Heater
DESCRIPTION OF ALL WORK BEING DONE .~r'~.~
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN C~
3/02