HomeMy WebLinkAbout0124179-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 902 EASTMAN ST
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD !
No
124179
Owner
HV PROPERTIES LLC
Create Date 04/10/2007
I
Contractor
ACTION ELECTRIC, ELECTRICAL CONl
Category 634 - Residential-Service Change
Service
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Volts
b New
120/240
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Change exterior of service only.
Work
Fees: Valuation
Issued By: ~
$750.00
Plan Approval
$0.00
Permit Fee'Paid
$46.60
Date 04/11/2007
D Permit Voided I
Parcelld # 1002850100
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 inithis 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
W1906 COUNTY ROAD JJ
KAUKAUNA WI 54130 - 9417
Telephone Number (920) 788-4020
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), yo~r 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, VVI54903-1130
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.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servic~s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor varticivating in the Permit Fee Account Svstem and have adeQuate funds. check here
if vou want this processed through vour account 0
DATE 1/--/0-07
JOB ADDRESS 9o~ ~4J..fm;?/l J1f-
OWNER .~/' f ~ /1 Jh, JJ.5e-h
CONTRACTORJ'k,fri! t1 G k 6/(-, c..
tJ/9 0 ~ er/ y "/"~ ~::r /~k.P1...J~c..
CHECK 0' ALL APPLICABLE
s'SJ CATEGORY
~ngle Family DDuplex DMulti-Family
SERVICE ONew DTemporary
~hange DNot Applicable
w:r
DRental DCommercial Dlndustrial
TYPE ~erhead DNot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I~/) I ;;.-re:>
J! /1S I~
!{)O
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
DRange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAle
DMotors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE E )C)c,~,I' r ,f~(/ (l4
F
DDryer DWater Heater
DElectric Sign
C hfl1.v5rz
,
0/1 r
.if! .~
VALUE (Including labor and all materials including light fixtures) $ 7.,jtJ
MASTER ELECTRICIAN ~(../( r/;;A/ Dlf;J;Jve;, 11= /7/7S-t
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3/02