HomeMy WebLinkAbout0126076-Electric (meter pedestal)
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OSHKOSH
ON THE WATER
Job Address 3769 GlENKIRK IN
CITY OF OSHKOSH
No
126076
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DAVID/PATRICIA KOHLS
Create Date 08/03/2007
Contractor
HELMER ELECTRIC INC
Category 634 - Residential-Service Change
Plan
Service
o New
. Change 0 Temp
ON/A
Type 0 Overhead
. Underground
Volts
Circuits
Luminaires
Receptacles
Amps
100
Switches
Appliances
Use/Nature of ~FR / REPLACE 100 AMP METER PEDESTAL
Work
Fees: Valua~rV\ (, $550.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 08/03/2007
D Permit Voided I
Parcelld # 1278400000
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
W3547 HillSIDE CfR
MALONE
WI 53049 - 1689
Telephone Number (920) 922-2270
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.
May, n, LUUI ~:LIAM
Inspection servIces
No,LraQ r, i
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbonc'(920) 236-5050
Fak (920) 236-5084
RECEIVED
AUG 03 2007 .
DEPARTMENT OF
ELECTRICAL CP!RMlll' ~f)JI~TION
All information ~~~ifit,lJ.QI~
Incomplete applications will not be proc:*ed.
~
bfl-KOJ1-1
eN TIot!' w"'TfR
. Application(s) and fee(s) can be brought to City Hall, Room 205 or malled to Inspection Services, PO Box 1128,
Os1iJcosh WI 54903~1128. Commeneing work without pernrit(s) win reSult in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If VOll are t1 contractor "artici110rinf' ill the P~rmit Fee Account Svstem and have adeqpate funds. check here
if}loll wallt Ihl$ procl!sst!d throuflh vOllr accoull( 0 .
DATE~
SOBADDBESS 31 b~ C~~~~,'(\() ~'().' (P3'{
. :;::cro~~~O#}~ck\c-i\\\C'
CHECK er AIL APPUCABLE
.
USE CATEGORY
,psinglc Family . ODuplex OMulti.Family
. SERVICE. ONew DTcmpm:ary
~anee ONot Applicable
ORental
DCommercial DIndnstrial
TYPE OOverhead ONot Applicable
~nderground
FlIL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts I
:Phase
~ \\)0
Reeeptacles#
C-JreUits #
Switches #
FhtItres #
CHEOC IiZJ ALL APPUCABLE
ORange DDisbwasher OGarbage Disposal
OFan OR Blower ClFmnace DAle
DMotors DGas Pumps DOllier
. -
DESCBIPTION OF ALL WORK BEING DONE .~~_'~AJ
0D1yer Owater Heater
DElectric Sign ,
~Q),
'. ,p
.. VALUE (IodlldJDg bbor ounI aD materials iud<<,/:"> ~ 5'?f:J
MASTERELECTRICIAN 9 · r2h . - .
~ 2:fCA ov
3/02