HomeMy WebLinkAbout0124913-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 406 W 15TH AVE
CITY OF OSHKOSH
No
124913
ELECTRIC PERMIT..APPLlCATIONAND RECORD
Owner
PATRICK H/ANGELA A RAUSCH JR
Create Date OS/22/2007
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Contractor
MY ELECTRIC CORP
Category 634 - Residential-Service Change
Service
o New
120/240
Circuits
Luminaires
Volts
100
Switches
Receptacles
Appliances
Use/Nature of ,SFR /Service change.
Work
$2,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
Date OS/22/2007
o Permit Voided I
Parcelld # 0907470000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 t,hiS permit application within an easement, the City strongly urges the permit applicant to contact the easement ,~.
holder(s) and to s~.cur.e-any-n~ry ~'pr.ova~ startinQ sl.!.ch activity. '<i --)
-- c.---. --- ~ - l' 7
Signature . .~ ~..-- Date _/ 2. O.
AgenUOwner
Address
1512 RUGBY ST
OSHKOSH
WI 54902 - 6360
Telephone Number 920-231-0707
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
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OfHKOfH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories nmst 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 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 ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if vou want this processed through your account 0
DA TE5/22/2007
JOB ADDRESS406 W. 15th Ave.
OWNERPat Rausch
CONTRACTORMY Electric Corp.
CHECK ~ ALL APPLICABLE
USE CATEGORY
{81Single Family
SERVICE DNew
I2S1Change
DDuplex DMulti-Family
DTemporary
DNot Applicable
DRental DCommercial DIndustrial
TYPE I2S1Overhead []Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles # _ Circuits #-
Phase
Amps 100 Switches #_
Fixtures #_
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE_
Change weathered overhead service.
MASTER ELECTRICIAN
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VALUE (Including labor and all materials including light f"JXtures) $2000.00