HomeMy WebLinkAbout2007-Electric (change panel)
.
OSHKOSH
ON THE WATER
Job Address 1707 ROOSEVELT AVE
CITY OF OSHKOSH
No
123704
ELECTRIC PERMIT-APPLICATION AND RECORD
Owner
TODD P PINGEL
Create Date 03/06/2007
Contractor
GROVER ELECTRIC
Category 634 - Residential-Service Change
Type . Overhead
Plan
o Underground
Service
b New . Change 0 Temp .0 N/A
120/240 Circuits
Luminaires
Volts
Receptacles
Amps
100
Switches
Appliances
Use/Nature of FR\ Change panel on recently updated service.
Work
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Fees: ... Valuation
$300.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~rrr;;
Date 03/06/2007
o Permit Voided I
Parcelld # 1213010000
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 hot a party, if you p'erform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and ecure an necessary appro als efore starting such activity.
Signature
Date ~.[ 7-0 /
T
Agent/Owner
Address
1650 S OAKWOOD RD
OSHKOSH
WI 54904 - 0
Telephone Number 920-379-7259
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone"(920) 236-5050
Fax (920) 236-5084
~
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 permit fee, which ever is greater.
OR
[fvou are a contractor lJarticipatinf! in the Permit Fee Account Svstem and have adeauate funds. check here
ifvou want this lJrocessed throuf!h vour account D. .
JOB ADDRESS I 7 cJ '7((0 <P 5<... (J,) ~. e /1'
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. CONTRACTOR C-ro (:/~ E r <e.-f-v I'L
DATE _~ - 0~C? 7
CHECK &:I ALL APPUCABLE
USE CATEGORY
~ingle Family
DDuplex
DMulti-Family
ORental o Commercial OIndustrial
TYP~Overhead DNot Applicable
DUnderground
SERVICE DNew
BJGhange
DTemporary
DNot Applicable
FITL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts 1;).Jl> I ~'ct? c
J>hase S~f-t.
Amps L (9( )
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK &:I ALL APPLICABLE
ORange
DFan OR Blower
DMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE fJ()'()~j ch ah~
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t7.f?/V '-' 5er'vr/p'
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. " VALUE (Including labor and all materials including light IlXtures) $
MASTER ELECTRICIAN Dc.._€/fJ"J( Qrc,~
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