HomeMy WebLinkAbout0127697-Electric (service change)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
127697
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 443 W SOUTH PARK AVE Owner
Contractor QUALITY ELECTRIC Category
Service b New . Change o Temp ON/A
Volts 120/240 Circuits
Amps 100 Switches
Appliances 'Furnace
VICTOR/PATRICIA A ROSSING JR TRUST Create Date 11/06/2007
634 - Residential-Service Change
Type . Overhead
12
Plan
o Underground
Luminaires
o
6
2
Receptacles
Use/Nature of SFR / SERVICE CHANGE AND OTHER MISC WIRING **check #4225
Work
$1,975.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
Date 11/06/2007
o Permit Voided I
Parcel Id # 0907030000
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.
Signature Date
Agent/Owner
Address
3750 GLENBROOK LN
OSHKOSH
WI 54904 - 8517
Telephone Number (920) 410-5890
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone.(920) 236-5050.
Fax (920) 236-5084
OJHKOfH
ON THF WATER
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
nonnal pennit fee, which ever is greater.
OR
lfvou are a contractor particiDatin~ in the Permit Fee Account System and have adeQuate funds. check here
ifvou want this Drocessed throuf!h your account 0 .
JOB ADDRESS 1f'(/3 We51
OWNER .-(lIe Ve. YeS \~ Q..
.. CO~CTOR Q ~c~"\ '~ \-1
5oLi:YJ fA r f<-
Ine 1/lJ / f--<,
. ~/eL+-rI;C
DATE J!-~ '-.07
CHECK a ALL APPLICABLE
USE CATEGORY
)iSingle Family
ODuplex
OMulti-Family
ORental OCommercial OIndustrial
TYPE )stOverhead ONot Applicable
OUnderground
:SERVICE ONew
. ptChange
OTemporary
ONot Applicable
. F1LL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts /20 I 2i(0
:rhase ;2' ~
. !\mps /0. ())
Receptacles #
&
Circuits # /12.
FixtUres #
v
Switches # . .c2.
CHECK a ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
OFan OR Blower JSll'umace JijA1C
OMotors OGas Pumps OOther
. -
DESCRIPTION OF ALL WORK BEING DONE {--PI. /;v J< I -I </te ~/ ;!J"if-f~ 4- tA-SenIKN-r;
4 r- ice C: . ~ :?"/Arjllt.{.-e d...- i V?. (':\'i\Jd~ +id~. . d..e. t ..\.~cl0 ~,~N'{;
fR. Plovc-L ?lor: ?{b;iWUd~ ^ r l'VtJi/V C~ {VI;? II' It J i..>I'i'rl'o.Je; IN &.-/fr"c 1:e~
ODryer OWater Heater
OElectric Sign .
.. VALUE (Including 1ahound all_erl2~i.cl~ light ~/i~ &0.
MASTER ELECTRICIAN ~ d0::;i::.::~::.---'-~
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