HomeMy WebLinkAbout0123566-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1617 W 9TH AVE
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
123566
Owner
WILLIAM STREY
Create Dat~~ 02/20/2007
Contractor
ALL BRIGHT ELECTRICAL SERVICES It-
Category 634 - Residential-Service Change
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Service
p New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Natureof FR\ Service change. Grounding as necessary.
Work
~ ,.', ':'
Fees: Valuation
$700.00
Plan Approval
$0.00
Permit Fee Paid
$39.00
Issued By:
-1ft~
Date 02120/2007
o Permit Voided I
Parcelld # 1309710000
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 pe it application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and f:J5S/!.7 a roval efore starting such activity.
Signature W P-: Date
Agent/Owner
Address
8455 S OAKWOOD AVE
NEENAH
WI 54956 -
Telephone Number 920-428-4433
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 clOd Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue ifthe inspection is not performed within two business days from the time the project is ready.
Ci~ of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbone.(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF W^TER
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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
]fvou are a contractor participating in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throullh vour account D. .
DATEPI.~fr/'
CHECK ~ ALL APPLICABLE
USE CATEGORY
JJSingle Family
"SERVICE DNew
I;2Change
DDuplex
DMulti-Family
DRental
o Commercial
OIndustrial
DTemporary
DNot Applicable
TYPE ~erhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts )$0 I ;J--yc1
:.phase I
!\mps //16
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK 611 ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower OFurnace DNC
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE .s; J' V~'.?J tAq 1r'r-P
DDryer DWater Heater
DElectric Sign
. . VALUE (Including labor and all materials iDclUd~n~ht f'IXtures) $
MAsrERELECTIUCIAN~/7-7 #~
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