HomeMy WebLinkAbout0124468-Electric (upgrade)
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OSHKOSH
ON THE WATER
Job Address 647 W 17TH AVE
CITY OF OSHKOSH
No
124468
ELECTRIC PERMIT-APPLICATION AND RECORD
Owner
BERNICE M RATCHMAN
Create Date 04/27/2007
Contractor
B & H ELECTRIC
Category 634 - Residential-Service Change
Service
b New
120/240
. Change 0 Temp
o NIA
Type 0 Overhead
Plan
. Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR 1 Service Change.
Work
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Fees: Valuation
Issued By:
Date 04/27/2007
D Permit Voided I
Parcelld # 1406120000
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 necessa approv before starting such activity.
.
Signature Date
AgenUOwner
Address
5421 NiCKELS DR
OSHKOSH
WI 54904 - 9530
Telephone Number 582-0303
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.
JOB ADDRESS {; Lf 7 l~-th rru&
OWNERJOJDlJ ~,ATU+fi1.W
. CO~CTOR ,~+ ~.+c~f-LT~ \L-
CBECK 6!.1 ALL APPLICABLE
USE CATEGORY
JaSIDgle Family DDuplex
DMulti-Family
ORental
DCommercial
OIndustrial
.' SERVICE ONew
OChange
OTemporary
ONot Applicable
TYPE DOverhead
.IaUIlderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:rhase
Amps
(;).(J I J-I/-/J
rC;; ,..) bL(;o
{n ,7
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK 6!.1 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
OGarbage Disposal
DAle
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
t J1 () W~. S(-~eLJ.LL-C
. . VALUE (Including labor and all materials including light llXtures) $
MASTERELECTRICIANf15~'jSO<'~
/fJol).o7)
q L\~<&
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/0: 30
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