HomeMy WebLinkAbout124961-Electric (meter pedestal)
e
OSHKOSH
ON THE WATER
Job Address 972 E SUNNYVIEW RD #20
CITY OF OSHKOSH
No
124961
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner VACANT 3-17-05
Create Date OS/24/2007
Contractor HELMER ELECTRIC INC
Category 634 - Residential-Service Change
Service
b New
120/240
. Change 0 Temp
o NIA
Type 0 Overhead
Plan
o Underground
Volts
Circuits
luminaires
Receptacles
Amps
100
Switches
Appliances
UselNature of SFR (Mobile Home) 1 INSTAll (replace) METER PEDESTAL
Work
Fee" valuat;~ rY1f
Issued By:
$890.00
Plan Approval
$0.00
Permit Fee Paid
$53.00
Date 05/24/2007
D Permit Voided i
Parcelld #
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
W3547 HillSIDE CIR
MALONE
WI 53049 - 1689
Telephone Number (920) 922-2270
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
rViay.U. LUUi ~:LIAIV1
Inspect'on services
jOlo. L Itt t'.
City of Oshkosh
Division ofI.nspection Services
P.o. Box 1130
Oshkosh, WI 54903-1 po
Phonc'(920) 236-5050
F:lx {920} 236-5084
~
blH<oiH
C:>N THF W",TER
ELECTRICAL PERMIT APPLICATrON
All information aft1:r bold categories r:tIUSt be provided.
Incomplete applications will not be proce$$ed.
. Application{s) and fee(s) can be brought to City Hall, Room 205 or malled to Inspection Services, PO Box 1128,
Oshkosh WI 54903..1128. Commencing work without pemrit(s) win reSult in fees being doubled or $100.00 plus the
normal pennit fee. which ever is greater.
OR
lfvo'U are 11 contractor r;JarticilJatinf.' ill the Permit Fee Account Svstem and have ade.quate funds. check here
lfvou Vla"t this p,.ocessed tlzrouflh your account 0 .
DATE ~-1~{)1
SOBADDRESS . q1d\ ~ny\hfj0 ld-~O
OWNER. ~e ~()\.\ft o. ()hf>~
. CoNTRACTOR *\.\1'\eX~kl(/~C'
CHECK Ia ALL APPUCABLE
USE CATEGORY
9lSingle Family
'SERVICE DNew
'~C1Jange
ODuplex
ClMuIti.Farnily
ORental
DCommercial OIndnstrial
DTempmary
ONot Applicable
TYPE OOverhead ~ot Applicable
OUnderground
FU..L IN THE APPROPIUATE BLANK WITH T8E NUMBER
. Volls
:Phase
AmPS
120 I 24-ll
18~~ :
Receptacles #
Switches #
Omdts #
F'imtres #
CHECK Ii!J ALL APPUCABLE
ORange
OFan OR Blower
[]Motors
DDisbwasher
ClFumace
DGas Pumps
OGarbage Disposal
DAle
DOllier
0D1yer OwateT Heater
OElectric Sign
-
DESCBlPTION OF AIL WORK BEING DONE,
, ~ \'"~\} ~ ~~t~) ~&ei ~&e;s-\-()J)~~ _ ~
.. VALVE (Indudlugbbor """ aII"'~ tight -"J~ ,-'>
MAsTEREL:€CTRlCIAN ~ 'R a~
3/02
45317"