HomeMy WebLinkAbout0127455-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1019 OTTER AVE
CITY OF OSHKOSH
No
127455
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DAVID O/JACLYN M WILSON
Create Date 10/24/2007
Contractor
BULLSEYE ELECTRIC INC
Category ~~-=-I3~~<!~~!ial-S;ervice C~'!9~~~__
Plan
. Change 0 Temp
ON/A
Type . Overhead
o Underground
J
Service
o New
120/240
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances Furnace, dryer
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Use/Nature of ISFR 1 Clean up non code compliant wiring.
Work I
I
1___-
Service change. .
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Fees: Valuation $2,200.00
7X~------
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid _____,$_~4.00
Date 10/24/2007
o Permit Voided I
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Parcelld # 0802440000
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 secu-'1ny ~..>>~ before starting such activity.
Signature /-:::;~ ~~ Date
Agent/Owner
Address
2547 NEKIMI AVE
OSHKOSH
WI 54902 - 8855
Telephone Number (920) 420-2~00
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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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OfHKOfH
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
[fvou are a contractor participatinfl in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
DATE /~. (;9.09-
JOB ADDRESS tole::; ~rr~t112- ~6.
OWNER ~~;z:,C) ~~ ~N
CONTRACTOR &~ ~.y~ c:E'<.E'<:7~:C G
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE ONew
8Change
OTemporary
ONot Applicable
TYPE .aOverhead
o Underground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1::k:J I~
Phase :5'.%~
Amps /~
Receptacles #
Circuits #
I
Switches #
Fixtures #
I
CHECK 0 ALL APPLICABLE
ORange
OPan OR Blower
DMotors
ODishwasher
l8Furnace
DGas Pumps
OGarbage Disposal
DAle
DOther
anryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~~_..oD ~ ~ '~jjJ)II~~t4ovT'
~.rA~. ~::ST~~ /~#t4;...JG,~ ~..ec,.l:r:eE.
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VALUE (Ind.dIng labor a.d aD materials ~ n:tu....) $ ~.~
MASTER ELECTRICIAN d ~~
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