HomeMy WebLinkAbout0126594-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 917 OTTER AVE
CITY OF OSHKOSH
No
126594
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JOEY J/MICHELLE SCHMID
Create Date 09/04/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 634 - Residential-Service Change
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Service
b New
120/240
Circuits
Luminaires
Volts
Amps
200
Switches
Receptacles
Appliances
i
Use/Nature of SFR /100 TO 200AMP OVERHEAD SERVICE CHANGE "debt acct
Work
Fees: Valuation
Issued By: ~$. i
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 09/04/2007
o Permit Voided I
Parcelld # 0802080000
In the performance ofthis work I agree to perforrh all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easi3ment, the City strongly urges the permit applicant to contact the .easement
holder(s) and to secure any necessary approvalsl before starting such activity.
Signature Date
,
Address
PO BOX 627
Agent/Owner
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
89/84/87 13:53:88
Faith Technologies->
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I
i
city. ()f Osbko$h
Division oflns,ectmnservjces
P.O. Box 1130 .
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-S0S4
ELECTRicAL PSRM1T AP!PI,..JeA tlON
AU information after bold eategorics must beprovidcd.
Incomplete applications Will not be proeessed.
. · Application(s) and fee(s) can be brought to CitY Hall, Room 205 or mailed to Irispection Seivices~ 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
I ou are a or artier atln . the P r here
if you want this processed throu~h your account .
DATE q-1-~7
JOB ADDRESS
OWNER
_ CONTRACTOR
q/7
JO t' Y
Ib /-011
tJllt{/ 5+
Sc h M;d
~.();UI/Jhy
EI ~t!fy;'c.,
CHECK ~ ALL APPLICABLE
~CATEGORY .
~ingle Family DDuplex DMulti-Family
SERVICE ONew ClTemporary
- ~ange ONot Applicable
DRental o Commercial DIndustrial
TYPE .B:JOverhead DNot Applicable
o Underground
FILL IN THE APPROPRIA TE.BLANK WITH THE NUMBER
Volts {dO I d4D
Phase 6iv1fl-l..
Amps!)/)/)
Re<:epta<:les #
Cinuits #
Switches #
Fixtures #
CImCK ~ ALL APPLICABLE
. ORange
OFan OR Blower
OMotots
ClDishwasher
DFumace
DGas Pumps
OGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE }&J - ;lrJO AMJO t'JJlt'l/ht"tfltJI StW/C-t. t'j,tlhp
VALUE (IndudJng labor and aU materials including light fIXtures) $ /1000, () 0
MASTER ELECTRICIAN ~trAd A. $~ ~ ) 4tiJ
r::c t..' $~(J , t' ()
3/02