HomeMy WebLinkAbout0126537-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 1004 S WESTFIELD ST
CITY OF OSHKOSH
No
126537
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MATTHEW P/KRISTEN R LEMKE
Create Date 08/30/2007
Contractor
HULLAR ELECTRIC LLC
Category 634 - Residential-Service Change
Plan
Service
R:TNew
120/240
Circuits
Luminaires
. Change 0 TemL~_N!~_j
Type 0 g_verhead _____ .._._LJ.n.9~rgrou~_______.j
Volts
Amps
Switches
Receptacles
Appliances i--
I
..._---_._---------------~.I
Use/Nature of SFR 1 SERVICE CHANGE FROM 100 TO 200AMPS OVERHEAD TO UNDERGROUND
Work
Fe.., Valuatl~50.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 08/30/2007
O!,ermit Void~
Parcel Id # 1309430000
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 se~ ~~~EE:l;.-sf approval~:~fOTe :tarting such activity.
Signature /h7'~.;:;?'.:.:'0 . ,:::;./ Date ?f ':.:.? i:~ - u;;-
f'.:'~ .,
Agent/Owner
Address
4932 W 9TH STREET RD
OSHKOSH
WI 54904 - 6530
Telephone Number (920) 233-3667
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
~
OfHKOfH
ON THF 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 particioatinf! in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account D
/ooLj
JOB ADDRESS 10 t) C:. ~ S V ~~j /:e/A
OWNER )1 ~ II "....IL
CONTRACTOR Jt/!r, f !.r,L ',-
DATE g - J () "u?
CHECK 0 ALL APPLICABLE
USE~ATEGORY
B'Slngle Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE DN~
[J]ehange
o Temporary
DNot Applicable
TYPE DO~head
rm:fnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts i 2.0 / z. 'to
Phase
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
-' /"..,
~ge ~shWasher
OFan OR Blower l2IPurnace
DMotors DGas Pumps
OQarlfage Disposal
E:(A/C
o Other
ooryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
(/vu'" C..u1 }.:> U'~?"'j ro ."n..A
s '
f'rvl cc:..
c: (V'iJ L.
1..:u1-= 2. \.i <)
MASTER ELECTRICIAN
VALUE (Including labor and all materials incl
3/02