HomeMy WebLinkAbout0122825-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 2119 N MAIN ST
CITY OF OSHKOSH
No
122825
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARK A FERGUSON
Create Date 12/08/2006
Contractor
VAN ERT ELECTRIC CO INC
Category 634 - Residential-Service Change
Service
b New
120/240
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFRlUpgrade from 60 to 100 amp service. **DEBIT ACCT**.
Work
Fees: Valuation __~100.00
Issued By: (2/Y7l4
Plan Approval
$0.00
Permit Fee Paid $77.00
--
Date 12/08/2006
o Permit Voided i
Parcelld# 1516580100
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 0
Telephone Number 920-766-3888
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.
~07 /06 15, 36 FAX 920 ~ 0883
Y City of Oshkosh '
y Division ofInspecdon Services
P.O. Box 1130
r\ Oshkosh, WI 54903.1130
phone (920) 236-5050
Fax (920) 236-5084
141 001
VAN ERT ELECTRIC
~
. OfHKOfH
.' DN THe: WIIT!':R
ELECTRICAL PERMIT APPLICATION
All information after bold camgories must be provided.
Incomplete applications will notbe processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-11~8. Commencing work withoutpermit(srwill result in fees being doubled or $1'00.09 plus'
.normal permit fee, which ever is greater.
OR
u are fl contractOr artici atln in the Pet"m' -F; e Account S stem and have. ade
i(J!Oll wa71 t thl$ Droce.u~d through vour accoun'z
check h,
JO~AoDRESS~SY 7<1l!~ 4-t
OwNER ~~ ~~ .
CONTl;{ACTOR :,; ,({~0
p
l'Je.c. Ir ~CO
CHECK ra ALL APPLICABLE
~ CATEGORY
o p8ingle F~ly [;JDuplex
7 4-, 6 '. .3 ?'31
o Multi- Family'
ORental
o Commercial o Induitrial
SERVlCE~:w
~hange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRrATE BLANK '\VITH THE NUMBER
Volts .
Phase
Amps
/Pt 0 /C~4eJ
;/0
Receptacles #
Circuits #
Swltcl1es #
Fixtures #
CHECK Ii:J ALL APPLICA..BLE
ORange
OFan OR Blower
DMotors
o Dishwasher
DFurnace
DGas Pumps
DGarbage Disposal
OAle
o Other
p
. ~Vr1{J. C~
DOryer OWater Heater
DElectric $ign
DESCRIPTION OF ALL WORK BEING DONE
'wO to (t5Q
0xmlJ f..u
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11,DO
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VALUE (Including labor and 11lll11aterials including light fixtures) $
1'/ ()O ."
t"':
MASTER ELECTRICIAN
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