HomeMy WebLinkAbout0123625-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 120 MERRITT AVE
CITY OF OSHKOSH
No
123625
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ROBERT L CUTTS
Create Date 02/26/2007
Contractor
BOWMAN ELECTRIC LLC
K)NeW _ . Change 0 Temp
120/240
Category 634 - Residential-Service Change
Service
ON/A
Type . Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
200
Switches
Receptacles
Appliances
Use/Nature of FR\ Change service
Work
$1,200.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
-?t~"
Date 02126/2007
o Permit Voided I
Parcelld # 0401360000
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 permitappUcant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
914 W 12TH AVE
OSHKOSH
WI 54902 - 0
Telephone Number 231-3106
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 requesNs 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. Box 1130
Oshkosh, WI 54903-1130
Phone"(920) 236-5050
Fax (920) 236-5084
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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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
Ifvou are a contractor participating in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throu!!h your account D. "
DATE :L/ ~"Of
,
JOB ADDRESS /2-0 Mern f-
OWNER " ~fA tt5
CONTRACTOR t3D-.....:>-IV'~
CHECK mALL APPUCABLE
USE CATEGORY
~gle Family
SERVICE DNew
.~~ge
DDuplex
DMulti-Family
DRentaI
o Commercial
DIndustrial
DTemporary
DNot Applicable
TYPE OOverhead
DUnderground
DNot Applicable
FllL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts (Lv / ~ '-\:'0 Receptacles #
:phase l
Amps ~ Switches #
Circuits #
FixtUres #
CHECK ftJ ALL APPLICABLE
ORange
OPan OR Blower
DMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAle
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE gr-u)<:...O- ~
" . VALUE (Including labor and all materials including light f"IXtures) $ I ~
MASTERELECTRICIAN 4~
3/02