HomeMy WebLinkAbout0125084-Electric (change service)
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CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECdRD
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No 125084
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OSHKOSH
ON THE WATER
Job Address
916 CONCORDIA AVE
Owner
ERICA J ALDERSON
Create Date 06/01/2007
Contractor
BULLSEYE ELECTRIC INC
Category 634 - Residential-Service Change
Service
b New
120/240
. Change
o Temp
ON/A
Type
. Overhead
Plan
o Underground
Volts
Circuits
4
Luminaires
3
Amps
100
Switches
Receptacles
10
Applliances
Use/Nature of ~FR / Change service and loadcenter. Add receptacles and change fixtures.
Work
Fee~;: Valuation
$2,000.00
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Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 06/01/2007
o Permit Voided I
Parcelld # 1306990000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. I
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perforr:n the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ~asement
holder(s) and to secure ny nece ary a proval before starting such activity. I
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Signature C'..J I Date G - / - 0 ~
AgenUOwner I
Address 2547 NEKIMI AVE OSHKOSH WI 54902 - 8855 Telephone NU~ber (920) 420-2400
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To sc..dul.'nSp.clIons pl.... call th.Insp.clion Requesllin. .'236-5128 noting the Add"".! Permit Numb.r, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain ent~), your Name and Phone
NlIImber. Unless specified otherwise, we will assume the project is ready at the time the reques~ 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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5()5()
Fax (920) 236-5084
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OfHKOfH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed. I
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectiol'l Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees beidg doubled or $100.00 plus the
normal permit fee, which ever is greater. I
OR '
If vou are a contractor participating in the Permit Fee Account Svstem and haVe ladequate funds. check here
ifvou want this processed through your account 0 i
DATE ls-, 5$ /. C3 9-
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JOBADDRESS 9/b a~.o.zA 11c:~,
OWNER e~ctcJ t9c:.~;e $c::>A.J
CONTRACTOR &~:::1S</~ e<:~/,e'ZC
CHECK Ii:1 ALL APPLICABLE
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o Rental DCommerbial o Industrial
TYPE BOverhead II DNot Applicable
OUnderground I
C. .. #1 //
lreUlts ,..
Fixtures r c..:3
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Doryer lOW_Hearer
DElectrid Sign
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DES(;RIPTION OF ALL WORK BEING DONE .c? #~6' ~~=n:!.~!cf- ~~~ "5"c:;:;e ,
4.t?.l? ~ClA07~<:'"JS-:;', -f- CA/A-u<::f1G" j:::i)( T ~~€rs:~ I
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DDuplex
DMulti-Family
USE CATEGORY
l8Single Family
SERVICE DNew
BChange
DTemporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WIm THE NUMBER
Volts / C).<:;1 I ;;;>::I c:J
Phase /
Amps /a::J
Receptacles #
/0
Switches #
CHECK Ii:1 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
DGarbage Disposal
DAlC
o other
VALUE (Including labor and all materials including light fixtures) $ ~~;, 9Q
MASTERELECTRICIAN~ ~~
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3/02