HomeMy WebLinkAbout0103898-Electric (srvice change)OSHKOSH
ON THE WATER
.lob Address 1954 OREGON ST
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ERIK S KRUMHOLZ
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103898
Create Date 09/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service change. *Job #37739.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 09/03/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
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.
~l 0~/2~?~003 FRI 12:07 FAX 920 738 $957 SERVICE
City of Oshkosh
Division of Inapecfima Services
P.O. Box I 130
Osl~osh, WI S4903-1130
Pho~x (920) 23~-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bc provided.
Incomplete applications will not be processed.
~001/001
· Application(s) and fee(s) can be brought to Ci~ Hall, Room 205 or muiled to l~spection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without p~rmt(s) will rcsult in fe~s being doubled or $100.00 plus the
norrr~l permit fcc, which cvcr is greater.
OR
[f ¥.u are a contractor particlt;a.tin~ in the Permit ~ee Account System and have adeouate fundy_, check here
i£vou want thi$ orot~$~ed throu~k
~ DATE ~/~7/~. ~
JO.^DDm ss 1957
OW ZH 5
CHECK [] ALL APPLICABLE
S]~nCATEGORY
gl0 Fzznily I"lDuplex r'lMulti.Family
SERVICE I-1New r']Tcmporary
K~hangc ~Not Applicable
F1Renial ElCommercial Elladustrial
TYPE ,~)verhead [3Not Applieabl~
I'lUndcrgvound
FILL IN :I'P.~ APPROPRIATE BLANK WITH TIlE NUMBER
Volts - ]~0 / ~.qt) Receptacles # Circuits #
Phase I
Amps /0 b~' Switc,hes #., Fixtures #
CHECK [] ALL APPLICABLE
~}Range ~Dishwashcr I-IGarbage Disposal
I=lFan OR Blower t'3Fumace ~IA/C
nMotors ElGas Pumps ElO~hcr
ElDryer
13Elcctno Sip
DESCRLPTION OF ALL WORK. BEING DONE
ElWaterHeater
VALUE (Including labor and all materials including light fixtures) $ [ ! t 0 ~), O 0