HomeMy WebLinkAbout0125206-Electric (upgrade)
e
OSHKOSH
ON THE WATER
Job Address 1040 W 5TH AVE
Contractor DREXLER ELECTRIC
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECO'RD
No
125206
Service
o New
. Change
Volts 120/240
Amps 100
Appliances
Use/Nature of SFR / SERVICE UPGRADE AND INSTALL OUTLETS IN LIVING ROOM
Work
Fees: Valuation $1,300.00
Issued By: 8Yrl ~,
. . 'V
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 06/06/2007
D Permit Voided I
Parcelld # 0606680000
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 pate
Agent/Owner
Address 490 COUNTY ROAD FF
PICKETT
WI 54964 - 9513
Telephone Number (920) 589-6700
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DEPA_R'.~--!VJ[~:T ()F
COfAi"'i;\!'TV ')E\/-
ELECTRICAL PERMrJ51APPLICil\rnON \1
All information after 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 a contractor artici atin in the Permit Fee Account Svstem and have ade uate unds check here
if VOLl want this processed throlteh VOltl" account 0
DATE &- 3 -01-
JOB ADDRESS /0 yo W 6f!J 4v< #1./-(
OWNER ~Tet/eAi ~MI'n:J h '4-tJ.!J
CONTRACTOR f)12./? XLe-rc 1E1..--t=r-~1 <--
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family
SERVICE DNew
.PJChange
DDuplex
DMuIti-Family
~Rental
DCommercial
o Industrial
DTemporary
DNot Applicable
TYPE ';8l.bverhead
o Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts rdo /dJ-'70
Phase j.. .
Amps / bO
Receptacles # t,
Switches # /
Circuits # J
Fixtures # I
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
o Motors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE S' e./U/Ic.( U fJ-6/U1-t)1f' Jfvt:?
;:r:::.rJYil+L<. 0 ~~TS. I,.J t t I(//~ 4~ <) ~
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN ~ D-O~
/300.00
3/02