HomeMy WebLinkAbout0125501-Electric (service change)
o
OSHKOSH
ON THE WATER
Job Address 823 HAZEL ST
CITY OF OSHKOSH /
No
125501
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOYCE MANDERSON
Create Date 06/25/2007
Contractor ROB'S ELECTRIC
Category 634 - Residential-Service Change
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Service
b New
120/240
200
Circuits
Volts
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / SERVICE CHANGE 200AMP OVERHEAD
Work I
Fees: Valuation
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
Date 06/25/2007
o Permit Voided i
Parcelld # 1105560000
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 lication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec e y neces ry approv Is b ore starting such activity.
Signature Date &. 'L f' ~ D 7
Agent/Owner
Address
2195 ALLERTON DR
OSHKOSH
WI 54904 - 8209
Telephone Number (920) 410-7622
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
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 $100.00 plus the
nonnal permit fee. which ever is greater.
OR
lfvou are a contractor participatinr in the Permit Fee AccountSvstem and have adequate funds. check here
ifvou want this processed throuf!h vour account 0 '
DATE
fa. ~S'"'. 0 7
olOB ADDRESS ~ L 3 HA-~ 5T
OWNER'36'{C1 ~~sv^-' .
'CONTRACTOR ~ 'g 'Cfzck-rc
CHECK la ALL APPLICABLE
~~ATEGORY
~ingle Family ,DDuplex DMulti-Family
,'SERVICE, DNew DTemporary
~ge DNot Applicable
o Rental o Commercial o Industrial
TYPE ~erhead DNot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts
::phase
A-mps
( 2 u I 2-NO
IY
.2 CJ(::,
Receptacles #
Circuits #
Switches #
FIXtlires #
CHECK la ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
..=::;:=all;1:pDg~)$
7:)u
,.----
3/02