HomeMy WebLinkAbout2007-Electric (upgrade)
G
OSHKOSH
ON THE WATER
Job Address 1302 RUSH AVE
Contractor TOWN & COUNTRY ELECTRIC
CITY OF OSHKOSH
No
124999
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL R HOEPPNER
Create Date 05/25/2007
Category 634 - Residential-Service Change
. Change 0 Temp
o NIA
Type . Overhead
Plan
o Underground
Service
KJ New
120/240
200
Circuits
Volts
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR 1 SERVICE CHANGE 200 AMP OVERHEAD **debt acct
Work
Plan Approval
$0.00
Permit Fee Paid
::::d :::"".~,.40000
$77.00
Date 05/25/2007
D Permit Voided I
Parcelld # 1610390000
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
hCllder(s) and to secure any necessary approvals before starting such activity.
Siignature Date
Agent/Owner
Address
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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.
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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICAtiON
All information 8fter bold categories must 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 contractor ar iei atin in the Perml check here
if vou want this processed throuvh vour account
DATE -5 -J t./ -tJ 1
JOB ADDRESS /60 d-- '-U s 11 Avt.
OWNER .Mi..OJ;r a f I H- 0 fpp t1 e V
CONTRACTOR IbWI/l cr-. Cvu l/1 hy a te-flA' C
CHECK li:j ALL APPLICABLE
~~CATEGORY -
~ngle Family ODuplex DMulti-Family
SERVICE DNew DTemporary
~hange DNot Applicable
ORental
OCommercial
o Industrial
TYPE ~verhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITHTHE NUMBER
Volts
Phase
Amps
('0-0 I ~ I.{ 0
I~
:J..bO A-Mv.>
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 6!J ALL APPLICABLE
ORange
OPan OR Blower
DMotors
DDishwasher
OFurnace
OGas Pumps
OGarbage Disposal
DAle
o Other
ODryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE )0 () AMP IJ tJ erk.la d .sew /c -e c ltauJJf(
VALUE (Including labor and all materials including light fixtures) $. J I t./ /)0. (J 0 Fe -e. ..iI 77 t (5 0
MASTER ELECTRICIAN WMMd A, ~kcCP_/~
:3/02