HomeMy WebLinkAbout0126630-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 1431 CONGRESS AVE
CITY OF OSHKOSH
No
126630
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JACK D STEINHILBER
Create Date 09f07f2007
Contractor
HOULE ELECTRIC LLC
Category ~~_:_B~~igentia!::Ser\li~e Change
Plan
Service
o Ne~ -. Change O)emL_j:S:~_~0~==_=-l
Type Qg_verhead_______jt_l!~.9~rg!~un~________J
Volts
120f240
Circuits
Luminaires
Amps
200
Switches
Receptacles
Appliances
"-------~-_._-~--_._-,-----------~----_.
Use/Nature of ISFR / Service change
Work
l
---------____..1
-----------------. .--l
I
I
____________J
Fees: Valuation
$1,200,00
12
L ./YYl~
Plan Approval
$0.00
Permit Fee Paid _~77.00
Issued By:
Date 09f07/2007
D_Permit V~i9~
Parcelld # 1201500000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application withi n easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any provals bQfO[ starting such' ity.
Signature Date J -7<- (2"-7
Agent/Owner
Address
6264 S
OSHKOSH
WI 54904 - 6866
---
Telephone Number
(920) 589-3646
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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inspdion
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!h 1820 P. 7
City of OsbJcosb
. OivisioD oilupeedoa Sctvic:es
P.O. Sox 1130
Oshkosh, \VI S4903.1130
Phone (920) 230...5050
fait (g20) 236-5084
CONTRACTOR
· Application(s) and !ee(s) can be
OsJikosh WI 54903-1128. Co
ftOI'TnIJ permit fee, which ever is
OR
U'i'~'Ut1r"" I'
i.t).e:' Ii 'III''!! {II is OC
i
EL CTRlCkL PERMIT APPLICATION
'~aIm bold ca~esJDllfbe provided.
JIlCOmp-, appJjc:atioll.$ willl'lot ~ ptoc:esiCd.
I
!
i
ught to c#y HaU, Room 205 or mailed to Inspection Services. PO Box 112S,
. g ~ without permit(i) wiU result in fees bei.na doubled or S 100.00 pJus the
ater. '
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, t :t:fu ACc'ont .bJtUIf oni! JalV~ Qd$auQttl fu.llds. !;hcck hn{
DATI 9 -6 ..-Q ?
~L<;.
~SALLAP1UCABLE
USE CATEGORY
JlSinale Family
SERVICE ONew
)i1chlmge
ClRental CComm~ial Cllnduatrial
TYPE t:l0verheac! ClNOt Applie..bl~
"Jit,Jndergrotmd
FILL IN THE AP:PROlRIATE BL
E-L~~~
Circ:tltts if_-=:"_
-
Fimtres ;;
ClUCK if ALL APPUCABLE
ORattge
OFUl OR Blower
OMotors
ODishwasber
CFumace
CGu Pumps
i
~e DUposal
rlA.t:
L'J~r ...
OOryer OWater Heater
OElectric Sign
DESCIUPTlON OF ALL WORK BElN DONE i
........
Se. \' 0 II' c.e..
Ch4~e-_
VAt. UE {Indlldia, labor ad aU mat
/02.00 ~ -
MASTER ELEC'llUCIAN
3/02