HomeMy WebLinkAbout0127448-Electric (replace service)
G
OSHKOSH
ON THE WATER
Job Address 1017 W 7TH AVE
CITY OF OSHKOSH
No
127448
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
LYLE ROEBKE
Create Date 10/24/2007
Contractor
B & H ELECTRIC
Category 634 - Residential-Service Change
Plan
Service
b New
120/240
Circuits
Luminaires
. Change 0 Temp
ON/A
Type . Overhead
o Underground
Volts
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Replace overhead service and ground as required by code. Reuse 100 amp panel.
Work
Fees: Valuation r' $500.00
Issued By: -1 Ji ..
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 10/24/2007
o Permit Voided I
Parcelld # 0606570000
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 secure any necessary approvals before starting such activity.
-:::=:;<..- ';:p t ~ .1
Signature-.:LJJ,,-^-,,-....) J:> cM~ r---
Date
/0.-c;l.t;-o7
Agent/Owner
Address
5421 NICKELS DR
OSHKOSH
WI 54904 - 9530
Telephone Number (920) 582-0303
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
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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
lfvou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account 0
. '"' i
DATE \ a -r./--/-'()"
JOB ADDRESS \ 0 \'1. ~ ) ~ +"'"'
OWNER ~Cl \ ~ \(, \ ,?Ke
CONTRACTOR 'b Q- H f. Lf C\ ~ \ C.
CHECK 0 ALL APPLICABLE
USE CATEGORY
t2J:Single Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE ONew
'tiJChange
o Temporary
ONot Applicable
TYPE EOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 'do / ;)Z;O
Phase i 9f
Amps 100
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
OAlC
DOther
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK ;BEING DONE 'Re\,( ~f e 0'---)+"'00. S-e c-u le--e..
n. \f\cl tLd-A G.[ ov"-.><:1 ~ od <.
VALUE (Including labor and all materials including light fixtures) $ =:SOd od
MASTER ELECTRICIAN~~",^- 30/L0-.
3/02