HomeMy WebLinkAbout0122803-Electric (move meter)
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OSHKOSH
ON THE WATER
Job Address 1318 ELMWOOD AVE
CITY OF OSHKOSH
No 122803
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BAHM PROPERTIES LLC
Create Date 12/06/2006
Contractor
JK ELECTRIC
b New - 0 Change 0 Temp
120/240
200
Category 634 - Residential-Service Change
Service
. N/A
Type 0 Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR / KEEP EXISTING PANEL MOVE METER TO OUTSIDE
Work
Fees: Valua'
Plan Approval
$0.00.
Permit Fee Paid
$25.00
Issued By:
Date 12/06/2006
o Permit Voided I
Parcelld # 1205020000
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 per it ap Ii cation ith' an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se e an neces ry provals before starting such activity.
)
Signature
Date
/2~t- ~~
Address
E91
Agent/Owner
NEW LONDON WI 54961 - 0
Telephone Number 920-982-7848
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
o Phone'(920) 236-5050'
. . Fax (920) 236-5084
DEe 0 \B? 2006 ~
S<<'
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOfH
ON THF WATER
. 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
nonnal permit fee, which ever is greater.
OR
]fvou are a contractor particiDatinf! in the Permit Fee Account System and have adeauate funds. check here
ifvou want this processed throuf!h YOUr account D' ,
DATE I a I ~ J.blp
JOB ADDRESS-.J :, 19( FJ W')u)O:JJ
~=crOR Er' c _~ tf+w-a cf-r~
CHECK fa ALL APPLICABLE
USE CATEGORY
r,OSingle Family DDuplex
DMulti-Family
o Rental
o Commercial
DIndustriaI
.' SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts J-Zo I <.L[c
:phase . I
AmPs 200
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK Ii:I ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DNC
DOther
. .
DDryer OWater Heater
OElectric Sign
DESCRIPTION OF ~L WORK BEING DOl'iE fee;>
IIY'{)~ y,ro k,. ~ fJ ~:7:..
~>[f<':,l'J
rr\~r
rY ALUE (Including labor and all mater" Is in
MASTER ELECTRICIAN
5DO G!2-- .
3/02