HomeMy WebLinkAbout0124176-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 442 W 19TH AVE
CITY OF OSHKOSH
No
124176
ELECTRIC PERMIT - APPLICATION AND RECORD
Create Date 04/11/2007
I
PI~n
i
Owner TARA WICK
Contractor HIETPAS ELECTRIC
Category 634 - Residential-Service Change
Service
. Change 0 Temp
o NIA
Type . Overhead
,
o i Underground
Luminaires
Receptacles
Volts
[) New
120/240
100
Circuits
Amps
Switches
Appliances
Use/Nature of SFR 1 NEW 100 AMP SERVICE WITH BREAKERS TO REPLACE EXISTING FUSES
Work
i
Fees: Valuation $750.00
Issued By: ~Lt)
Plan Approval
$0.00
Permit Fee Paid
,
$46.00
Date 04/11/2007
D Permit Voided I
i
Parcel Id # 1405700000
!
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. I
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 s ny necesS.ary. pprovals before starting such activity.
--
Signature
Address
N8619 COUNTY Roiw
Date
; LJ - )( --d'l
Agent/Owner
BERLIN
WI 54923 - 9433
Telephone Number
92:0-361-2020
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 rece,ved. 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 54903-1~30
Phone"(920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOfH
! ON THF WATER
I
I
!
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servi~es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s} will result in fees being dou~led or $100.00 plus the
nonnal permit fee, which ever is greater. !
OR
If vou are a contractor particiTJatin~ in the Permit Fee Account Svstem and have adeou1ate funds. check here
ifvou want this TJrocessed throuf!h vour account D. , "
DATE Y -' 7/ -. (J7
JOB ADDRESS 44 d- kJ 19 fh 0 sh frc:/s0
.. ::::2::~H /:j~~ fZ('?<~.'<. LL-c
CHECK &:1 ALL APPUCABLE
USE CATEGORY
It;1single Family
.' SERVICE DNew
. .Change
DDuplex
DMulti-Family
ORental DCommercial I DIndustrial
TYPE .$verhead DNQt Applicable
DUnderground
DTemporary
DNot Applicable
. FILL INTBE APPROPRIATE BLANK WITH THE NUMBER
, Volts
:rhase
Amps
JJ.O I ?-~(J
ld
Ir20
,
Receptacles #
Circuits #
Switches #
FIXttires #
CHECK &:1 ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDisbwasber
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOtber
DDtyer OWater Heater
DElectric Sign
DESCRIPTION OF ALL
,
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" . VALUE (Including labor and all materials including light fixtures) $
MASTERELECTRICIAN 0 ct hHI\J~.5
t
,7!70
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3/02