HomeMy WebLinkAbout0126104-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1620 W MURDOCK AVE
CITY OF OSHKOSH
No
126104
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOEUJUDlTH LEVESQUE
Create Date 08/06/2007
Contractor TK ELECTRIC
Category 634 - Residential-Service Change
Plan
Service
b New
120/240
Circuits
Type . Overhead
8
o Underground
. Change 0 Temp
ON/A
Volts
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of FR / Service change
Work
Fees: Valuation
$1,300.00 Plan Approval
~
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 08/06/2007
D Permit Voided I
Parcelld # 1217200000
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 secur an. ec~ry ~p~vals ~:_fore starting such activity.
Signature. t?L--- Date
Agent/Owner
Q!o6 107
I I
Address
2630 HILLWOOD CT
APPLETON WI 54911 - 2229
Telephone Number (920) 734-3104
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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OfHKOfH
ON THE 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 particilJating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account D
DATE
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JOB ADDRESS /6){j \,./, MIA/" dOGt
OWNER P orfr/u Ci 5;'(v\; fh
CONTRACTOR fJ( E lec1r/L
CHECK 0' ALL APPLICABLE
USJ;CATEGORY
EfSingle Family DDuplex
DMulti-Family
DRental
SERVICE O~w
9Change
o Temporary
DNot Applicable
TYPE
D Commercial DIndustrial
~verhead DNot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
'')..0 I ). Vo
1-
WO If
Receptacles #
Circuits #
~
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAle
DOther
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE IU()/) ()ver ).-eCtd -{('(vile Ckttf-e
VALUE (Including labor and all materials including light fixtures) $
j~t p )Lo~5
I, lOO, 00
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MASTER ELECTRICIAN
3/02