HomeMy WebLinkAbout0125990-Electric (service change)
e
OSHKOSH
..PN THE WATER
Job Address .'1710 MINNESOTA ST
CITY OF OSHKOSH
No 125990
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TROY M/REBECCA L PEPPLER
Create Date 07/27/2007
Contractor
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Service
p New
110/220
o Change
o Temp
. N/A
Type
. Overhead
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
,
Use/Nature of Service change replace wires and move meter to outside of the building.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 7/27/2007
D Permit Voided I
Parcelld # 1403710000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit 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 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 application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec e ar.lY necessary ppro Is before tarting uch activity.
Date ><
o11~7101
Signature
Address
OSHKOSH
WI 5490 - 0000 Telephone Number
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.
> ""
/' qq.(D
~/;)'j
~
OfHKOfH
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ON THF WATFR
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 YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
ifvou want tM, oro"",d th,ou.h you, account 0 DATE QJ I x71 Dl
JOB ADDRESS
OWNER \(D
CHECK 0' ALL APPLICABLE
~ CATEGORY
~ingle Family DDuplex DMulti-Family
SERVICE oNew,oTemporary
'.hange ~ot Applicable
(
DRental DCommercial DIndustrial
TYPE ~Overhead oNot Applicable
oUnd~rground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V ~Its /
Phase
Amps \ G U
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
oGarbage Disposal o Dryer oWater Heater
oAlC oEleqn:ic Sign. I J n S
~Other V'i~~~ t vy\,(Ai.,r, (~?O\Ol-tVj{Vv)lt CCt'OU.
DESCRlPTION~ALL{j'ORKB:~. NE . _. . . '
_m~u V iV'i't1bIT~\'V1fK~ e,
ORange
oFan OR Blower
DMotors
oDishwasher
oFurnace
DGas Pumps
ill (liliA -Ie /
VALUE (Including labor and all materials including light fixtures) $
" ,
MASTERELECTRICIAN dOl fi ~ij-
3/02