HomeMy WebLinkAbout0126247-Electric (service change)
o
OSHKOSH
ON THE WATER
Job Address 123 W 10TH AVE
CITY OF OSHKOSH
No
126247
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
AUDREY POMRANING
Create Date 08/14/2007
Contractor
T RUCK ELECTRIC INC
Category 634 - Residential-Service Change
Plan
. Change 0 Temp
ON/A
Type . Overhead
o Underground
Service
b New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR / SERVICE CHANGE, USING EXISTING 100AMP PANEL
Work
Fees: Valuation
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
~
Date 08/14/2007
o Permit Voided I
Parcelld # 0302200000
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
690 W 3RD AVE
OSHKOSH
WI 54902 - 5880
Telephone Number (920) 233-7191
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.
,....';Io/.""',~<;-;,,'J.;ll:'!;~:N.::.;I!~",l:..':";~...;;.<:;,""'o;\:\;'Zt''''''j:i..M.:i~,.;;~:~~"lOi:i:i:'..~"IWi~,iI.Ml..
.4. _~...IlIfLft~~.1n~~j:~~'i"...""""'.':"'~-"-':"'"''''
City of 05h1:osh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOJ'H
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infomlation after bold categories must be provided.
Incomplete applications will not be processed.
· AppIication(~I') and fee(s) can be brought to City Hall, Room 205 or mailed to lniipection Services, PO Box 1 i28,
Oshkosh WI 549G3-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[J:.you ar'e a contractor...J!.gL1.i~jJ2atin.un the Permit Fee Account Svstem and have adequate funds, check here
if vou want t~2.q..f:.~gSLlbLg~}lJ2J(r account 0 . .
DATEAu9 1'-1, 6'1
JOB ADJOREss_-LZ3 -MJ~~
OWNEIl AwJ.>~.Jl - ~~')i~ ~
CONTRACTO~~~__~_ ~~,
~ .
),
CHECK 6:1 AfL A!'jJlLICAULE
USP?ATEGORY
BS"ingle Family
DDuplex
OMulti-Family
o Rental
SERVICE ON?
fB'iC"hange
OT emporary
DNot Applicable
TYPE
o Commercial Olndustrial
~ead DNot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V nits -J:tb I ~4tJ
~~;: ~0l5~-
, -
Receptacles #
Circuits #
Swih:hes #_
Fixtures #
CHECK 0' ALL .A.F'ItLICABJLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAle
o Other
o Dryer OWater Heater
DElectric Sign
DESCRlJ'TION OF ALL WORK Bl'ilNG DONE_ . ~();, dB' ~~'8'
'~/; t", f l,,~ NY) . tJz:G C
-...a-!~!
VALUE (Including Iobor and .11 m.n~.t ;'1tln~i~g Iigbt r"'tures
MASTEIl ELECTRlClAN -I---J-tj