HomeMy WebLinkAbout0124704-Electric (service change)
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OSHKOSH
ON THE WATER
JClb Address 1024 ARMORY PL
CITY OF OSHKOSH
No
124704
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BARBARA M WILLIAMS
Create Date 05/09/2007
Contractor
ROB'S ELECTRIC
Category 634 - Residential~~ervice Change
Plan
o Underground
Service
o New
120/240
200
Circuits
. Change 0 Temp
ON/A
Type Q Overhead
Volts
Luminaires
Amps
Switches
Receptacles
Appliances i
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Use/Nature of ~FR / SERVICE CHANGE **debt acct
Work I
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Fees: Valuation $650.00
Issued By: ~ W
Plan Approval
$0.00
Permit Fee Paid
$39.00
Date 05/09/2007
o Permit Voided I
Parcelld # 1308580000
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
AgenVOwner
Address
2195 ALLERTON DR
OSHKOSH
WI 54904 - 8209
Telephone Number (920) 410-7622
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 ifthe 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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOJH
ON THF WATER
· AppIication(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
nonnal permit fee, which ever is greater.
OR
I ou are a contractor artici. arin in the Permit e Account S stem and have adeuate unds check here
ifvou want this Drocessed throuf!h ;ou;. account
OWNER-
CONTRACTOR
DATE S- ~ ;. CJ 7
5T-
CHECK 6!f ALL APPUCABLE
USE CATEGORY
esmgle Family ODuplex
OMulti-Family
DRen~
o Commercial
Dfudustrial
"SERVICE DNew
- ~ange
DTemporary
DNot Applicable
TYPE OOverhead
OUnderground
DNot Applicable
FILL INTBE APPROPRIATE BLANK WITH THE NUMBER
- Volts
~lI1ase
. :Almps
( 2Q J 2- L{ 0
.~
~OCJ
Receptacles #
. Circuits #
Switches #
Fixtures #
CHECK 6!f ALL APPLICABLE
ORange
OPan OR Blower
Olv.fotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DNC
OOther
DDzyer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
. (j'----
0) ,.
- - VAli:.UE (Including labor and aU materials including light fixtures) $ _
MAsrnRELECTRICIAN &;;;A(. " KtL-t I 'L
3/02