HomeMy WebLinkAbout0126979-Electric (service upgrade)
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OSHKOSH
ON THE WATER
Job Address 1267 ELMWOOD AVE
CITY OF OSHKOSH
No
126979
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
LARRY J/ERICJ/CRAIG M ROSE
Create Date 09/25/2007
Contractor
JOHN~ SELNER~~~Q:LF3lC_ LLQ_______ Category
~._---~-_._._--------_.__._---_._~..~-~,
~~'II'~~ Cha~ge O_!er1.ll'___Q_Ni~_.1
120/240 Circuits
~~i-_~~id~E3.n1iaI-ServJ~g_~~~_______ Plan
Service
Type._.9_v~!~~a..<:l___~~ ~_.D_LJ~ergr<l..l:I.~__~_J
Volts
Luminaires
Amps
200
Switches
Receptacles
Appliances
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Use/Nature of :SFR\ Service change from 100 to 200 amps according to current code. *'check #1403
Work .
_ _______.___..._________ ....J
Fees: Valuation $1,150.00
Issued By: ~
Plan Approval $0.00
Permit Fee paid__$J7.0Q
Date 09/27/2007
...,- "..---.-..--
D_ Per~!!.~?L~~9J
Parcelld # 1201720000
In the performance of this work I agree to perform allwork 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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
E1296 PINE GROVE RD
LUXEMBURG WI 54217 - 7721
Telephone Number (920) 845-2625
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.
.) e,tf.. r.j:".
O:llfiM
InspeCllon services
Rei
IN. 'UIU r .t;
City of Oshkosh
Oivision of Inspection Services
P.O. Uox 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJFKOfH
SEP 2 4 2007
DEP/~RTIViEjIJT OF
COMMUNITY DEVELOPfvlENT
INSPECTION SERVICES [)JVIS;Or!
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THE' WATFR
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 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 participalin~ in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account 0
DATE
1~[7-() 7
JOB ADDRESS /2<07 EL}fI1tV60fJ A~ e>stlt<ntl
OWNER LARA'-I f<o-SE
CONTRACTOR :SoH!\J S13LNIE!<- ELec.7RrC
CHECK RJ ALL APPLICABLE
USE CATEGORY
.~ingle Family
SERVICE ONcw
~hange
o Dup1ex
OMulti-Family
ORental
o Commercial Dlndustrial
OTemporary
DNot Applicable
TYPE~verhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH "rHE NUMBER
Volts /2-0 /2 cfD
Phase . ~1..v(pt.E.
Amps 2.00
Receptacles #
Circuits #
Switches #
Fixtures # _.___
CHECK &1 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
DFurnace
OOas Pumps
OGarbage Disposal
DAle
DOther
DOryer OWater Heater
DEtectric Sign
DESCIUPTION OF ALL WORK BEING DONE sea. v ICE uP G I<..~IJ E
pR.oW\ 100 A-vwp T0 ZD:::::> /}M P ~VB((..rfcItO
VALUE (Including labor and all materials including light fixtures) $ / /5"0
MASTER ELECTRICIAN -=so F{;J 5eL!Jl ~ R 4:1082 t.f {p ~
3/02
SEP 17,2007 07;56A
19202365084
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