HomeMy WebLinkAbout0125977-Electric (upgrade)
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OSHKOSH
ON THE WATER
Job Address 232 W SOUTH PARK AVE
CITY OF OSHKOSH
No
125977
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN E/MARGIE BRUNOVER
Create Date 07/26/2007
Contractor TOWN & COUNTRY ELECTRIC
Category 634 - Residential-Service Change
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Service
o New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR / Service change. ""DEBIT ACCT"".
Work
Fees: Valuation
$975.00
~
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
Date 07/26/2007
D Permit Voided I
Parcelld # 0901410000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 Date
Agent/Owner
Address
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
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.
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City ofOshkosb
~~:ofi;peetfonservices i: W{)y /L... h tiVLt' " .'~114C bVJ q,/ g)l>l, "
. Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PE'RM'IT A PPl..ICA tlOO
All information after bol~ c:afbgories rn~ 'be provided.
Incomplete applications Win Dot beproeessed.
. · Application(s) and fee(s) can be brought to CitY Halt, Room 205 or mailed to lrispe.ction ServiceS, POBGX 1128. .
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, whioh ever is greater.
OR
J ou are a r J'r artici a in e P here
{(1I0U want this ."rocessed throuffh vouraccount .
DATE
'1,J&-tJ7
JOB ADDRESS ;) OJ. lttL Sot< ft1pdvk AtK.
OWNER .J n III 1.1 B r fA ntH/ t Y'
. CONTRACTOR -tOWVl ..J.. ~tttt -hy Elt'c/v,'c
CHECK ~ ALL APPLICABLE
USE CATEGORY
tpSingle Family
SERVICE DNew
~hange
DDuplex
DMulti-Family
DRental DCommerciaI DIndustrial
TYPE I10verhead ONot Applicable
DUnderground
OTemporary
DNot Applioable
FILL IN THE APPROPRIATE BLANK. WITH THE NUMBER
Volts . 1;).0 I J-L/ 0
Phase I
Amps /00
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
. ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DOas Pumps
OGarbage Disposal
DAlC
DOth.er
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEmG DONE !PO -- '~D AM jJ ~ If .s / t!- .
VALUE (Including labor and all materials including light fIXtures) $
MASTER ELECTRICIAN k~d A-.
q7.5-"t1D~(.:
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$ (p~,t)O
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