HomeMy WebLinkAbout0126889-Electric (replace service)
G
OSHKOSH
ON THE WATER
Job Address 216 W 19TH AVE
CITY OF OSHKOSH
No
126889
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TODD G HOLZHAUSEN
Create Date 09/20/2007
. Change 0 Temp
ON/A
Type 0 Overhead
Plan
. Underground
Contractor BRIGHT STAR ELECTRICAL SERVICES
Category 634 - Residential-Service Change
Service
b New
120/240
Circuits
Luminaires
Volts
Amps
100
Switches
Receptacles
Appliances
,.
Use/Nature of SFR\ Replace electric service.
Work
Fees: Valuation
Issued By: 1'1"1
$1,300.00
Plan Approval
I:
$0.00
Permit Fee Paid
$77.00
Date 09/20/2007
D Permit Voided I
Parcel Id # 1404880000
Address
OSHKOSH
WI 54902 - 2632
Telephone Number 920-232-8047
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To schedule inspections please call the Inspection Request lin~ at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Buildi~g 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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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
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OfHKOfH
ON THE WATER
Ii
ELECTRICAL PERMIT APPLlCA liON
All information after bold c~tegories must be provided.
Incomplete applicationS will not be processed.
I
. Application(s) and fee(s) can be brought to City Hall, Robm 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. I
OR ~ :
lfvou are a contractor particivating in the Permit Fee Account System and have adequate funds. check here
ifvou want thiS1Jo~oc~~ed t~,oughtv~ou~~count 0 ' DATE 9/bbP 7
JOB ADDRESS . ' { () 1;0 .
OWNER -r; lid 12' . oSelrt
CONTRACTOR 13r~ <}.h t Snit' fleer"
(J
CHECK 0' ALL APPLICABLE
~E CATEGORY
91Sing1e Family DDuplex DMulti-Family
SERVICE DNew DTemporary
~Change DNot Applicable
,DRental
DCommercial
o Industrial
TYPE OOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Ido / (;)Lfo
J
100
Receptacles #
Circuits #
V ~Its
Phase
Amps
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
DRange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage pisposal
DAlC .
DOther
ODryer OWater Heater
DE1ectric Sign
DESCRIPTION OF ALL WORK BEING DONE
Re.Plo:c<?_ Flf ci1r;CCZ/ SeJVice-
/300 < a()
MASTER ELECTRICIAN
3/02