HomeMy WebLinkAbout0123430-Electric (service upgrade)
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OSHKOSH
ON THE WATER
. Job Address 2303 N MAIN ST
CITY OF OSHKOSH
No
123430
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JOHN KLEINSCHMIT
Create Date 02107/2007
Contractor
DILLMAN ELECTRIC
Category 634 - Residential-Service Change
Plan
Service
p New
120/240
Circuits
Luminaires
. Change 0 Temp
ON/A
Type . Overhead
o Underground
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFRI Service upgrade.
Work
Fees: Valuation $700.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$39.00
Date 02107/2007
o Permit Voided I
Parcelld # 1517870000
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) an 0 ure any necessa ro\(cils before sta' such activity.
Signature
Date
dr, / tY-L
I I
Address
PO BOX 0273
Agent/Owner
OSHKOSH
WI 54903 - 273
Telephone Number 920-212-0756
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 titne the project is ready.
.~A<
~ City of Oshkosh
Division of Inspecrion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Hvou are a contractor DarticiDating in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this Drocessed throuf!h vour account 0 . . . .
. DATE ~J' /D7
JOB ADDRESS ~ ~ 0 '3 t\J. IV, ct \ '" ~+
OWNER .~~V'\ \\\e.'\V\.S~W\lG\~ .
. CO~CTOR-=D~.1J \MLl i"'\ E1 Pc:+r~L-
CHECK ftJ ALL APPLICABLE
USE CATEGORY
SlSingle Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
. SERVICE DNew
D'lChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
;Amps
, f:)b I .;l 40
,
~hO
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK ftJ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~ CV'r,' ee.
L1 D~V'a cle
: I \
. . VALUE (Including labor and all materials including light lxxtures) $ 700 ,00
MAsTERELECTRICIAN-=B ~u~ 'D~\ r 'VV\o..~
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3/02