HomeMy WebLinkAbout0126597-Electric (service mast)
G
OSHKOSH
ON THE WATER
Job Address 407 W 15TH AVE
Contractor BOWMAN ELECTRIC LLC
CITY OF OSHKOSH
No
126597
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOSEPH W/STEPHANIE J NICHOLS
Create Date 09/05/2007
Category 634 - Residential-Service Change
Plan
. Change 0 Temp
ON/A
Type it Ovemead
o Underground
Service
o New
120/240
Circuits
Luminaires
Volts
100
Switches
Receptacles
Amps
--l
Appliances
Use/Nature of ISFR\ Replace service mast, upgrade grounding, & move meter outside.
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
~ Tie'
Date 09/05/2007
o Permit Voided I
Parcelld # 0907590000
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 secu~~y... nh.. ces ry approvals before starting such activity.
Signature ~~~_ _ Date
.' AgenUOwner
Address
914 W 12TH AVE
OSHKOSH
WI 54902 - 6320
Telephone Number 231-3106
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
check here
1 ou are a contractor artici atin in the Permit Fee Account S stem and have ade
if vou want this processed through vour account 0
DATE
?/s/o 7
,
JOB ADDRESS
OWNER
CONTRACTOR
'7() 7 tJ / 5Yi-
-Jo e A/~L{5
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.
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family 015uplex
1- 7- r:J1
II : 1:/
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE DNew
..PJChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / )u
Phase
Amps
/2'-fD
I
/t>o
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE re pi We-€-- ~ 1M {(51) LA?;; rc-/e5r<J~u-/t1:J / {
M cr'V-C /1IU.kV ~f>;J e
VALUE (Including labor and all materials including light fixtures) $
S6C0
MASTER ELECTRICIAN C~~ -'-
3/02
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