HomeMy WebLinkAbout0124427-Electric (new service)
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OSHKOSH
ON THE WATER
Job Address 702 W 10TH AVE
CITY OF OSHKOSH
No
124427
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DEAN R FISCHER
Create Date 04/26/2007
Contractor
T RUCK ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
o Change . Temp
ON/A
Type . Overhead
o Underground
Service
o New
120/240
Circuits
Luminaires
Volts
Receptacles
Amps
100
Switches
Appliances
Use/Nature of ~FR / Set up temporary service. Remove old service panel damaged in fire and install new.
Work
Fees: Valuation
$700.00
~
Plan Approval
$0.00
Permit Fee Paid
$39.00
Issued By:
Date 04/26/2007
D Permit Voided I
Parcelld # 1303980000
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
Agent/Owner
Address
690 W 3RD AVE
OSHKOSH
WI 54902 - 5880
Telephone Number (920) 233-7191
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.
~lo~if6
City of Oshkosh
Division of I~pection Services
P.O. Box 1130
Oshkosh, ~I54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
AU information after bold categories must be provided.
; .' Incomplete applications will not be processed.
..,.,l
. 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
normal permit fee, which ever is greater.
OR
I(vou are a contractor varticiDating in the PerT:1it Fee Account System and have adequate funds. check here
if vou wont this processed through your account 0 " '..J~_: f
, . ." DATE~ ?~,01
JOB ADnRESS --Z~;z. .. .~) . fQik. (4.~
OWNER . (D.t,A.iC)'. '}-. ~c-h"f1- .
. CONTRACTOR YC'f..' Ie \C ,~t~C" ~c..
CHECK [tI AL~ArPLI;~,r\BLE;,;;~'~>~'
. . .n"rS5 .......X'(,...; "
~~T:~~~Y D~~Plex'X.'DMulti-FamilY
SERVICE D~ew Ar~orarY-'-'
DChange DNot Applicable
...
DRental DCommercial DIndustrial
TYPE ~head' DNot Applicable
DUnderground
FILL IN THE APPRO~RIATE BLANK WITH THE NUMBER
Volts)<ZLJ I 'ZHD
Phase I (2J
Amps /60
,
Receptacles #
Circuits #
CHECK [tI ALL APrLI<:.AB1J!
Fixtures #
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAle
DMotors DGas p'umps DOther
nESCRlPTIONOF~~~~~Gn6~) · ~~dT~~ ,~';~w
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o Dryer
DElectric Sign
DWater Heater
VALUE (Including labor
9,4 Li,,1
3/02