HomeMy WebLinkAbout0123772-Electric (upgrade)
.
OSHKOSH
ON THE WATER
Job Address 53 BOWEN ST
CITY OF OSHKOSH
No
123772
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
VINCENT UIRMA E MILLER LIFE ESTATE Create Date 03/12/2007
Contractor
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Service
p New
120/240
Circuits
Luminaires
. Change 0 Temp
ON/A
Type . Overhead
o Underground
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of FR\ Change service to 100 amps from fuses to breakers according to current Code.
Work
i) ~..:.
Fees: Valuation
Issued By: tJ r~
$600.00
Plan Approval
$0.00
Permit Fee Paid .. $32.00'.
Date 3/12/2007
o Permit Voided I
Parcel Id # 0806000000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work 1 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.
h... {;l _ II b- ~ ~1-.
.' 1--' "Agent/Owner
Address VINCENT UIRMA E MILLER LIFE ESTAT OSHKOSH
Signature
Date
~.-'"l~ rOl
WI 5490 - 4681
Telephone Number
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.
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,
Oslikosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal perririt fee, which ever is greater.
OR
If vou are a contractor particilJatinf! in the Permi.! Fee Account Svstem and have adeauate funds. check here
ifvou want this processed throuf!h vour account D. .
DATE ]_IJ.--.O 7
-' Sf
JOB ADDRESS 2> 5 ~[)\.r.J f {\J
OWNER. O~Vl (~ ~. (\ )..,r-
. CONTRACTOR----1Y"\ ~ R.. ~ ~ " { l p ~
CHECK ~ ALL APPLICABLE
IlSE CATEGORY
P'f)ingle Family DDuplex DMulti-Family
'SERVICE DNew DTemporary
~Change DNot Applicable
DRentaI o Commercial DIndustrial
TYPE ~erhead DNot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:rhase .
Amps
1?01 r,}.- ~O
I
100
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
luo" f?r-~~s
S-erl)l c~ ., Ghc.",--~~.
t-v
. . VALUE (Including labor and all materials including light fixtures) $ (", 0 0 00
MASTERELECTRICIAN ~rA'-1 ~ h...... :;j,L
3/02