HomeMy WebLinkAbout0126198-Electric (upgrade)
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OSHKOSH
ON THE WATER
Job Address 1908 OHIO ST
Contractor VAN ERT ELECTRIC CO INC
CITY OF OSHKOSH
No
126198
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARK/TAMMIE DODD
Create Date 08/09/2007
Category 634 - Residential-Service Change
:0 New
120/240
. Change 0 Temp
o NIA
Type . Overhead
Plan
o Underground
Service
Volts
Circuits
Luminaires
Receptacles
Amps
100
Switches
Appliances
Use/Nature of SFR 1 Service upgrade. VE Job #F2032BE
Work
Fees: Valuation
$800.00
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
~
Date 08/09/2007
D Permit Voided I
Parcelld # 1409530000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888 462-14~
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
OshkQs~ VVI54903-1130
Phone (920) 236~5050
Fax (920) 236-5084
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OfHKOfH
ON THE WATER
ELECTRICAL PERMIT APPLICA TrON
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. Conunencing work without permit(s) will result in fees being doubled or $1'00.00 plus'
,normal permit fee, which everis greater. '
OR
lfvou are a contractor participating in the Permit Fee AccountSvstem and have adequate funds. check h.
if yOU want this lJrocessed throuf!h your account 0
, DATE ~ / glV'1
JOB ADDRESS IqO~ .Oluo JhJ
OWNER JJ.ar~ DcdcR.
CO~CTOR . YCtil.' e44 !/1'lJ.n,-u
CHECK It[ ALL APPLICABLE
\Y8'E CATEGORY ,
~Sing1e Family []Dup1ex , OMulti-Family
SERVICE ~".ew o Temporary
i\Change ONot Applicable
o Rental 0 Commercial OIndustrial
TYPE Averhead ' DNot Applicable
OUnderground ,
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts.
Phase
Amps
[:20 {Cl4O
I
/IJ()
Receptacles #
Circuits #
SwitcJ1es #
Fixtures #
CHECK It[ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
o Garbage Disposal
DAle
DOther
~Yilf
OI>ryer OWater Heater
OElectric $ign
DESCRIPTION OF ALL WORK BEING DONE
/J..mmd f
MASTER ELECTRICIAN
, .
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VALUE (Including labor and aU materials including light fixtures) $ f3()() .CXJ
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<:. ' ',.,<, .~
12trmtJ rV 4$ ~J (t)
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