HomeMy WebLinkAbout0123033-Electric (service upgrade)
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OSHKOSH
ON THE WATER
Job Address 407 W 1 OTH AVE
CITY OF OSHKOSH
No
123033
ELECTRIC PERMIT - APPLICATION AND .RECORD
Owner
JOHN M/MARGARET WINN
Create Date 12/28/2006
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Contractor
Service
o New
. Change 0 Temp
ON/A
Type . Overhead
o Underground
200
Circuits
Switches
Luminaires
Volts
Amps
Receptacles
Appliances
Use/Nature of SFRlUpgrade service from 100 amp to 200 amp
Work
$60.00
Fees: Valuation $1,000.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
Date 12/28/2006
o Permit Voided I
Parcel Id # 0906420000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to ~ ~~~ore starting such activity.
Signature r;
m\ Agent/Owner
007 (A/ e 6 J- ! tl f"(. A V L OSHKOSH
Date
Io/~ 7/06
I
223- S~ 'Ie?
Address
WI 5490 - 6405
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Boxll30
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
('\ Fax (920) 236-5084
~
OJHKOfH
ON THF W^TER
ELECTRICAL PERMIT APPLICATION
I
All information after bold categories must be provided.
Incomplete applications will not be proce$sed.
JOB ADDRESS 0-0 7 {.A/~~ -II () f'-
OWNER~-;r ~~'V\. W { IV\,
CONTRACTOR . J \ f"'. ~G\..j+- / ~ ~ ""'0. W{(\~
a :3 =3 - 5 ~y?
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
r\/JlSingle Family
. SERVICE DNew
DChange
DDuplex
OMulti-Family
DRental
DCommerciaI
o Industrial
DTemporary
DNot Applicable
I
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts I
:rhase
AmPs [J-t.>O
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAle
DOther
DDryer DWater Heater
DElectric Sign
DESCRfilTIO~ OF ALL WORK BEING DONE ::2..60 Av'kO
,
e n 1-t"v
. I
,
SerUI<-~
,,-y ALUE (Including labor and all m~terialS including light ilXtu~es) $
. MASTERELECTRICIAN J/M I c;. 5 f- / Jo h,...
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