HomeMy WebLinkAbout0125641-Electric (replace service)
G
OSHKOSH
ON THE WATER
Job Address 26 W SOUTH PARK AVE
CITY OF OSHKOSH
No
125641
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
120/240
100
o Change 0 Temp
Owner WilLIAM N GEHRKE Create Date 07/05/2007
Category 634 - Residential-Service Change Plan
. N/A Type o Overhead o Underground
Circuits Luminaires
Switches Receptacles 0
Contractor MY ELECTRIC CORP
Volts
Amps
Appliances
Use/Nature of SFR / REPLACE WEATHERED SERVICE
Work
Fees' valuaUn. ~ooo
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 07/05/2007
D Permit Voided I
Parcelld # 0303690000
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 applicatio in an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur ~.o:/ I before starting such activity.
Signature Date
Agent/Owner
Address
1512 RUGBY ST
OSHKOSH
WI 54902 - 6360
Telephone Number (920) 231-0707
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
~
OfHKOfH
ON THE 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
normal permit fee, which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processedthrouf!h vour account 0
DA TE7 /5/2007
JOB ADDRESS26 W. South Park Ave.
OWNERBill Gehrke
CONTRACTORMY Electric Corp.
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE DNew
DChange
DDuplex DMulti-Family
DTemporary
DNot Applicable
DRental DCommercial Dlndustrial
TYPE DOverhead []Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles #_ Circuits #_
Phase 1
Amps 100 Switches #_
Fixtures #_
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther _
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE_
Replace weathered service.
VALUE (Including labor and all materials including tight rlXtures) $1000.00
MASTER ELECTRICIAN