HomeMy WebLinkAbout0124649-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 443 W 10TH AVE
CITY OF OSHKOSH
No
124649
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHRIS R1JANET F HOLZER Create Date 01/05/2007
Category 634 - Residential-Service Change Plan
o NIA Type . Overhead o Underground
Circuits Luminaires
Switches Receptacles 6
Contractor MAASS ELECTRIC LLC
Service
o New . Change 0 Temp
120/240
Volts
Amps 100
Appliances
Use/Nature of SFR 1 SERVICE CHANGE, REQIERE BASE ENT FROM FIRE DAMAGE *3-7-07 - Sullivan is doing cleaning. Repair est. to come.
Work
Issued By:
I
I
Plan App 6val
II
1'0 Permit Voided I
In the performance of this work I agree to perform all workl1pursuant 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
$0.00
Permit Fee Paid
Fees: Valuation $3,000.00
f5rr-) Lt )
$94.00
Date 05/07/2007
Parcelld # 0906350000
,
Date
Address
N3417 STATE RD 76
Agent/Owner
HQRTONVILLE WI 54944 - 8312
Telephone Number (920) 757-9422
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 onnspe~ction Services
P.O. Box 1130
Oshkosh, WI 54903-1~30
Phone"(920) 236-5050
Fax (920) 236-5084
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OJHKOfH
ON THF WATER
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DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CHECK la ALL APPLICABLE
USE CATEGORY
ljiingle Family
SERVICE ONew
}{Change
DDuplex
DMulti-Family
ORental
o Commercial OIndustrial
DTemporary
DNot Applicable
TYPE (a6verhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
"Volts Ide' I '0-4"0
:rhase~
:Amps ) DC')
Receptacles # \ / (p
Switches # I
Circuits #
FixtUres #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
ONe
DOther
ODryer OWater Heater
OElectric Sign "
DESCRIPTION OF ALL WORKBE~G DONE. .s f;.1!!,\J'; CE (1"'11 /;,~ ~ ~E<A fa
" ~1\Sf..WlEkn"s;'RO'M. S~E:'. ~VV\~oE" I
VALUE (Including labor and~g Ugh' fixtures) $ ~
MASTER ELECTRICIAN ...- \- \ ~c....~
3/02