HomeMy WebLinkAbout0123524-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 3071 EIDE ST
Contractor TOWN & COUNTRY ELECTRIC
CITY OF OSHKOSH
No
123524
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner EAA Create Date 02114/2007
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits Luminaires
Switches 3 Receptac~es 25
Service
b New
120/240
Volts
Amps
200
Appliances
Use/Nature of I ero Club / Service Change, Wire 25 receptacles and 3 switches **check #792562
Work
Fees: valuat~2'500.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 02115/2007
D Permit Voided I
Parcelld #
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 perrnit 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
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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.
JOb 4f 511t?{J J .- 7 (Jot{
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
FEB 1 5 2001
ELECTRICAL PERMIT APP~ICA TION
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
normal permit fee, which ever is greater.
OR
If YOU are a contractor varticipating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed through your account 0
DATE j. 13.tf7
JOB ADDRESS
OWNER
CONTRACTOR
3011
~A-A
10 f/U 1/1
b;'cf-t Sfvee f
f- Uwu/vtl [:1 (em' t
/
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family
ODuplex
OMuIti-Family
o Rental
TYPE
9tCommercial o Industrial
o Overhead DNot Applicable
o Underground
SERVICE DNew
DChange
DTemporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
IJ-o / J-JO
I
J..()D
Receptacles #
~6
3
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
o Motors
DDishwasher
DFurnace
OGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ () ,5 tJO ' 0 c; Fe t:./ -# f 1/ dO
MASTER ELECTRICIAN ~J 4. ~ 9'1 j4aJ
3/02