HomeMy WebLinkAbout0127363-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1039 ALGOMA BLVD
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
127363
Owner
GRADY D/KIMBERL Y BULLINGTON
Create Date 08/30/2007
Contractor
GROVER ELECTRIC Category
D N~~=__. C~~~ QTemp _o__B~~_-=J
120/240 Circuits
634 - Resi~enti?I-Service Char:!9~__
Plan
Service
Type Q-.9~~rhead_~_______._~~<!erg!()un<!--_--j
Volts
Luminaires
Amps
100
Switches
Receptacles
.______..___~_~____.~_~.__.__~_~___._.._._._.____....,._..________...,'.____._n....___
Appliances
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Use/Nature of ISFR\ Service change 100amp overhead to 100amp underground
Work i
I
l__._ __________....___.____...__________
Fees: Valuation $650.00
Issued By: ~b---
Plan Approval $0.00
Permit Fee Paid _____$39.0Q
Date 10/18/2007
o Permit V_oLd~
Parcelld # 0507020000
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) an~necessary a~ before starting such activity.
Signature ~ ~. ~ Date it) ../7-u 7
~ - Agent/Owner
Address
1650 S OAKWOOD RD
OSHKOSH
WI 54904 - 8347
Telephone Number (9201~7~:7259
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE 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
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if YOU want this vrocessed through your account 0
JOB ADDRESS ! () "3?A- I Sto ~.~
OWNER CJ"Cf J Cj t,c...,}( ; ~ ~~
/
CONTRACTOR C >-ra u--r E lec+ 0"-
DATE 10- (7~O)
CHECK 0" ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE DNew
paChange
DTemporary
DNot Applicable
TYPE DOverhead
~Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1<71 b /::L. Ltc)
Phase So; ":::5 (.f
Amps 1 DC')'
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0" ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE C 4 Cf ~ I 'VI::;
t)~L,.ec.r<{ 'f-"" lA t-.J-<v/ !:J YOL.~{
s: <..r'-";'c e:
f:.- r 0 z..yJ
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VALUE (Including labor and a~nclUdin: Hgbt fixtures~ t: s= 0
MASTER ELECTRICIAN ~ _~ ~
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