HomeMy WebLinkAbout0123645-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 408 MERRITT AVE
CITY OF OSHKOSH
No
123645
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TERRY AfST ACEY J CARLSON
Create Date 02128/2007
Service
T RUCK ELECTRIC INC
. Change 0 Temp
Category 634 - Residential-Service ~~nge__ Plan
Contractor
ON/A
Type __9verh~ad
o Underground
Volts
120240
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of FR\ Remove 2nd meter and replace socket, bring service up to code.
Work
U~>.-'~ .
\-~'./ ."'1:
Fees: Valuation
$390.00
Plan Approval
. $0.00
Permit Fee Paid ;
$25.00
Issued By:
47C
Date 02128/2007
o Permit Voided I
Parcelld # 0402880000
In the performance of this work I agree to perform all work pursuant to rules governing the described construqtion.
While the City of Oshk has no authority to enforce easement restrictions of which it is not a party, if you p~rform the work
described in this per t a Iication within an easeml'ifit;Ihe trongly urges the permit applicant to contact the easement
holder(s) and to se ure a s before starting uc activity.
Signature Date
Address
OSHKOSH
WI 54902 - 0
Telephone Number (920) 233-7191
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.
L
'"
City of Oshkosh
Division ofInspcctioll Services
P.O. Box l130
Oshkosh, \VI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ON TH F \-'//'\TFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
€it Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54,903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If VOI./ are a contractor '7articiDatino- in the Permit Fee Accollnt Svstel71 and have ade
Ii VOII 'vanl this lJrocessed !hrou<;[h VallI' aCCOlln! 0
check
JOBADDRESS fat- ty1~f<I'jf- .Ave
O\VNER ~R(t Ct4Q(~n~ _
CONTRi\CTOR~-r::=~bct 12I;>c/n,'c. j 1vnCff
DATE ~b <Z.~ 07
CHECK 0' ALL APPLiCABLE
~.-\TEGORY
uSingle Fanlily ODuplex
OMuhi-Family
o Rental
o Commercial
Olndustrial
SERVICE ONe'.'!
OChunge
OTemporary
ONot Applicable
TYPE ~:head
OUnderground
DNot Applicable
FILL IN THE AYPROPRIATE BLANK WITH THE NUMBER
Volts i'lfJ ! -:Zt{(!>
Phase' J C2f
Amps JOO ----
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR BIO\ver
Ol'vlotors
ODishwasher
DFurnace
DGas Pumps
OGarbage Disposal
DAle
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~{Mov~ 9,/..1(\
~l A-t~}'A(; ~~ i-
!y\b(7A
~D._
-90' . i,4
s <
~P
VALUE (Including labor and alii "a
["lASTER ELECTRICIAN
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