HomeMy WebLinkAbout0123443-Electric (meter)
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OSHKOSH
ON THE WATER
Job Address 614 W IRVING AVE
CITY OF OSHKOSH
No
123443
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCOTT D NERENHAUSEN Create Date 02108/2007
Contractor DREXLER ELECTRIC
Category 623 - Residential-Duplex Addition/Remode Plan
Service
b New
120/240
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
200
Switches
Receptacles
Appliances
Use/Nature of Duplex! Replace damaged electric meter.
Work
Fees: Valuation
$550.00
~
Plan Approval
$0.00
Permit Fee Paid
$32.00
Issued By:
Date 02108/2007
D Permit Voided I
Parcel Id # 0500570000
In the performance of this work I agree to perform all work pursuant to rules goveming 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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 0
Telephone Number 920-589-6700
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
.
OJHKOJH
ON THE 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
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account Svstem and have ade
ifvou want this orocessed throuf!h vour account 0
unds check here
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OWNER oeo -f:::;t' /lJr \~ If i't-.J II A U S.~J
CONTRACTOR 'Vi2fx(~"c.. t::1-a-CciZ( <.-,;
DATE cJ- 6'- 0 7
JOB ADDRESS
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family ~DuPlex DMulti-Family
SERVICE DNew o Temporary
o Change ~ot Applicable
DRental
o Commercial
o Industrial
TYPE OOverhead ~ot Applicable
o Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2,;.) / d-yu
Phase .:1-
Amps c9-o (0
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
OGarbage Disposal
OAlC
o Other
o Dryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
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VALUE (Induding labor and ~ing Ugb! fixlures) $ S-S- 0 ,
MASTER ELECTRICIAN {. fJ D ~
3/02
32--