HomeMy WebLinkAbout0122304-Electric (service change)
G
OSHrOSH
ON THE WATER
Job Address 2328 HICKORY LN
CITY OF OSHKOSH
No
122304
ELECTRIC PERMIT - APPLICATION AND RECORD
JOSEPH J KAUFMAN
Create Date 10/27/2006
Owner
Contractor
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Service
b New
120/240
. Change
o Temp
ON/A
Type . Overhead
o Underground
Volts
Circuits
Luminaires
Amps
150
Switches
Receptacles
Appliances
Use/Nature of SFR / MOVE SERVICE AND ADD W.P. DISCONNECT
Work
Fees: Valuation .. ~:2Q
Issued By: ~
$39.00
Plan Approval
$0.00
Permit Fee Paid
Date 10/27/2006
o Permit Voided I
Parcelld # 1518674600
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~Muref{=a. . ecessary approvals before starting such activity.
Signature T;...j;: _ Date
Agent/Owner
Address JOSEPH J KAUFMAN OSHKOSH
~549Q-_~
Telephone Number
/oh7~b
I /
b3.5"-Ob ,t; ~
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
DivisiQD of Inspection Services
P.O. Box'I130
Oshkosh, WI 54903-1 pO
Phone"(920) 236-5050
Fax (920)236-5084
O\J 2~
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation 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,
Osllkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
If vou are a contractor particil1atinf! in the Permit Fee Account Svstem and have adeq.uate funds. check here
ifvou want this processed throuf!h VO";. account D. "
. . I / . DATE!tJ -;) {j~(J6
JOB ADDRESS :2 3 2~? .. ff)c"jc:.o }--'/ (fr1'
OWNER' fJa;' n Cl {( 0 Vj-F' M q n.. . ~ 3 -r; -- 0 ~ 65
". CO~CTOR D v"" hD/1
CHECK er ALL APPUCABLE
~tI$ CATEGORY
asmgle Family DDuplex
DMulti-Family
DRental DCommercial OIndustrial
TYPE~erhead OOot Applicable
OUnderground
:SERVICE OOew
"~ge
OTemporary
ONot Applicable
. FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts (1-/) I J-(j1]
Phase I
Amps ~ (50
Receptacles #
Circuits #
Switches #
FIXtUres #
CHECK er ALL APPLICABLE
ORange DDishwasher OGarbage Disposal
OFan OR Blower DFumace ONC '
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING 'DONE ') f A / jJ1ov~"
IJd A vv, f?. al1l0 /t',Y'. J ~. J y (I~rl/ . arLo' r J.O
ODryer OWater Heater
OElectric Sign .
je.. r V I 'ere
fa ( Q. r! e ~
.--'
" VALUE (Including labor and all materials including light f"lXtures) $1 {)tJ
MAsTERELEcrRICIAN ;r~/ ~, 1!.+~
i".tf ?:.'1't -0353 PE7f ~i/fMAJ
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3/02