HomeMy WebLinkAbout0126148-Electric (replace raceway)
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OSHKOSH
ON THE WATER
Job Address 1942 ARIZONA ST
CITY OF OSHKOSH
No
126148
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BRIAN W LALK
Create Date 08/08/2007
Contractor
BUD'S ELECTRIC LLC
Category 634 - Residential-Service Change
. Change 0 Temp
o N/A
Type . Overhead
Plan
o Underground
Service
o New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Replace PVC raceway from meter to electrical panel. Verify grounding and bonding.
Work
Fees: Valuation $300.00
,...ed By. 11~
Plan Approval $0.00
Permit Fee Paid
$25.00
Date 08/08/2007
D Permit Voided I
Parcelld # 1406460000
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 apP.lication within an easement, the City strongly urges the permit applicant to contact the easemen:dda. . .
holder(s) and to ecur C!ny necess pprov Is before starting such activity.
Signature 't... . .G?V-. Date ~)
Agent/Owner
Address
825 HARBORVIEW CT
OSHKOSH
WI 54901 - 1642
Telephone Number (920) 420-3751
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
(I)
OJHKOfH
ON Tl-tf' WATFR
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Q~sh WI 549Q3-112~. Com.'nJm~i.'lg work wit..lJout p.ermit(s) will r.e~mlt it'} fe.es hei.'lg dQubl.e4 or $100.00 plus 1i'.e
normal permit fee, which ever is greater.
OR
Tf you are a contractor participatinf! in the Permit Fee Account System and have adequate funds, check here
if you want this vrocessed throuf!h your account 0
DATE
JOBADDRESS /9'-1;2 /Je/20nQ 5/
O'''NER asQ lC~V\ 1...1Ct I K.
CONTRACTOR 13, ') r\ r~ F.} () ("4 r ,(. t \ c...
CHECK 0 ALL APPLICABLE
USE CATEGORY
IXlSingle Family DDuplex
DMulti-Family
DRental
DCommercial
SERVICE Dt~ew
~Change
T\rE tZfoveFhead
OUnderground
o TempeFa:f'Y
ON ot Applicable
FILL IN THE APPROPRIATE BLANK WITH TIlE NUMBER
V ~It&
Phase
Amps
/'?-o ! ;;;40
/;!
100
R~~~pt;u;I~& #
(:;in~yjt!! #
Switches # .--
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
o Furnace
DGas Pumps
OGarbage Disposal
OAlC
DOther
o Dryer OWater Heater
OElectric Sign
~J7 J67
I f
DIndustrial
ON at Applieable
DESCRIPTION OF ALL WORK BEING DONE -::<e-t? la c: e
me-/e,e 7D E/eGI/Z/~a...1 ~I/Je-I '
;.0 IN' n r
ILk l~ctCe. t...JCL y -t-/2.0m
VALUE (Including labor and all materials including light fIxtures) $ 300.. 00
MASTERELECI'RlC~ ~,/f i!~
3/02