HomeMy WebLinkAbout0125180-Electric (meter)
Service
p New
120/240
. Change
CITY OF dSHKOSH
ELECTRIC PERMIT - APpLcATION AND RECORD
TIMOLv D POLlSHINSKI
Category ~besidential-service Change
+:Type . Overhead
Circuits
Switches
No 125180
G
OSHKOSH
ON THE WATER
Job Address 648 MOUNT VERNON ST
Owner
Create Date 06/06/2007
Contractor BUD'S ELECTRIC LLC
Plan
o Temp
o N/A
o Underground
Volts
Luminaires
Amps
100
Receptacles
Appliances
Use/Nature of SFR\ Move meter and mast to other side of house per correction no ice.
Work
Fees: Valuation
$450.00
Plan Approval $0.00 :
I
I
D Permit Voided I I
Permit Fee PaId
$25.00
Issued By:
/}/K
Date 06/06/2007
Parcel Id # 0403820000
In the performance of this work I agree to perform all work pursuant to rules gOV~rning the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of Jvhich it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges t~e permit applicant to contact the easement
holder(s) and to secure any ne ssary approv s efor starting such activity. I 4 I
Signature Date ~_fQ 7
, (
I
I
Address 825 HARBORVIEW CT OSHKOSH WI 54901 - 1642 Telephone Number 920-420-3751
To schedule inspections please call the Inspection Request line at. 36-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into BUildingifll, Secure (how do we gain en'try), your Name and Phone
Number. Unless specified otherwise, we will assume the project is, ready at the time the request is received. Work may .
conllnue I' the InspecUon Is nol pertonned within two business daf "om the Ume the p..Ject is ...ady.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
. ELECTRICAL PERJIT APPLICATION
All infonnation after bold catJgories must be provided.
Incomplete applications fll not be processed.
. Application(s) and fee(s) can be brought to City Hall, Rool20S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pdnit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater. I. , '.
OR . . . .
Ifvou are a contractor participatinf? in the Permit Fee lccount Svstem and have adeouate funds. check here
ifvou want this processed throueh your account 0 .
~
OJHKOfH
ON THF WATER
DATE rJ~/07.
~ t
JOB ADDRESS ' \l' ell lAD V'""'.
OWNER ~v-- ?Dhs.L--w'-5 ~:
. CONTRACTOR ~ )r\ I S 13\ Q.r ~-+\'2- \ ~ G
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
DMulti-Family
Dental
DCommercial
o Industrial
.SERVICE DNew
~Change
;nove
DTemporary
DNot Applicable
TYPE ~Overhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE ER
. Volts 1:20 I ;)46 Receptacles#--=.L
:phase I t1 L
Amps 100 Switches # '- .
:::~ AlLAPP:::~ O~age Dl~
OFan OR Blower DFumace DAlC I
DMotors DGas Pumps DOther ---.J
DESCRIPTIONOFALLWORKBEINGDONE ~;J llfe7~ ~ 1lf1l5T
oTHfft2. ~/Oe 01 1!CfU.~e I
. . I
I
. . VALUE (Including labor .ud all materials including light -J.1> If D ()
MAsTERELECTRICIAN % It d~
Circuits #
Fixtttres #
DDtyer OWater Heater
DElectric Sign
ro
3/02