HomeMy WebLinkAbout0125197-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 1925 VINLAND ST
CITY OF 0 HKOSH
No
125197
ELECTRIC PERMIT - APPL CATION AND RECORD
Owner
MARY FAUST
Create Date 06/06/2007
Contractor
HOMEOWNER
Category 634 - sidential-Service Change
Plan
Amps
b New
120/240
100
. Change
o Temp'
o NIA
Type . Overhead
o Underground
Service
Volts
Circuits
luminaires
Switches
Receptacles
Appliances
Use/Nature of SFR 1 SERVICE CHANGE FROM FUSES TO CIRCUIT BREAKERS
Work
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuati
Date 6/6/2007
D Permit Voided I
Parcelld # 1215980000
The undersigned, in applying for an Electric Permit to perform electrical wo k within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per Ci y Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this p rmit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules gove ning the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of w ich it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges th permit applicant to contact the easement
holder(s) and to sec". any necessary !p~aIS before st~~ing such activity.
Signature .~ __ ~/.... .o.' ~ Date
\ Agent/Owner
/ q g {- 0~ OSHKOSH
I ( -
Address
WI 5 90 - 2246
Telephone Number
~4~7
J3~- f( I g"~
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 i Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project i ready at the time the request is received. Work may
continue if the inspection is not performed within two business da s from the time the project is ready.
,Jun. 1. 2007 6:53AM
inspect ion services
No.2925 P. 2
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
~
OJf1KOfH
ON THF \VAT!;'!!
ELECTRICAL PERM T AP'PLICATION
All infonnation after bold ca ories must be provided.
Incomplete applications "n not be proc~sed.
· Application(s) and feces) can be broughtto City Hall, Roo
Oshkosh WI 54903-1128. Commencing work without
nonnal permit fee, which ever is greater.
OR
205 or mailed to Inspection Services, PO Box: 1128,
.t(s) will result in fees bcingdoubled or $100.00 plus the
DATE
~J 4/07
JOB ADDRESS
OWNER.
CONTRACTOR
s:t-
CHECK er ALL APPLICABLE
USE CATEGORY
~Single Family
. SERVICE DNew
. ~Change
DDuplex
OMulti.Family
Dental
DCommercial
o Industrial
OTemporary
DNot Applicable
TYPE JlfOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPlUATE BLANK WITH THE NUMB R
. Volts / aO I :t~O
l'hase S/tzQ/...t2.-
.,
Amps I~(j
Receptacles #
Circuits #
Switches #
Fixtures #
CBECK Ia ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
OFuroace
DGas Pumps
DDryer DWater Heater
OElectric Sign
, . VALUE (Including labor- aDd all materials including light il.Xtures) .36)() l>.(,}
l\fASTER FLECTRICIAN
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