HomeMy WebLinkAbout0123722-Electric (service change)
e
OSHKOSH
ON THE WATER
Job Address 709 MERRITT AVE
CITY OF OSHKOSH
No
123722
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
SHARON M KOERNER
Create Date 03/07/2007
Contractor
DIERSEN ELECTRIC LLC
Category 634 ~~sidential-Service Change
Service
b New
120/240
. Change 0 Temp
ON/A
J
Type . Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacle~
Appliances Dryer
Use/Nature of FR\ Service upgrade from 60 to 100 amps. Disconnect installed to accomodate WI 8' rule.
Work
Fees: Valuation
$1,500.00
Plan Approval
$0.00
Permit Fee Paid
$77.00 I
Issued By:
41<:
Date 03/07/2007
D Permit Voided I
Parcelld # 1100180000
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 permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address
6823 OLEN TRAIL
WINNECONNE WI 54986 - 0
Telephone Number 920-582-0552
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 ofInspection 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 without permit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
]fvou are a contractor participatin1! in the Permit Fee Account Svstem and have adea.uate funds. check here
ifvou want this processed throu1!h vour account 0 . . .
JOB ADDRESS
?o?
DATE
3 - ~ -0 ?
(Y/t r r:P
OWNER 6'rLW-OF'- ~tJ'-r
. CO~CTOR P/~~~ t: 4-~ ,"c, L...L L
CHECK rif ALL APPLICABLE
USE CATEGORY
~ingle Family
SERVICE DNew
. ~hange
DDuplex
DMulti-Family
ORental
o Commercial
DIndustrial
DTemporary
DNot Applicable
TYPE )3fOverhead
DUndergrotmd
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:rhase
Amps
I Lk0
~S("~
~ /i26
Receptacles #
Circuits # ~S
Switches #
FIXttires #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
DAlC" .
DOther
f"EIBryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE .Se.-vJ\~~ L{ frrrO-t"h J1--c9~0 0 -10.
I 07J O(~
MASTER ELECTRICIAN
. . VALUE (Including labor and all materials including light
3/02