HomeMy WebLinkAbout0127851-Electric (change service)
o
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
127851
ELECTRIC PERMIT - APPLICATION AND RECORD
Contractor
1649 CEDAR ST
ELECTRIC SERVICE OF OSHKOSH LLC
~New _ 0 ~ha~ge 0 Temp
120/240
--"._-----
Owner
STEVEN G KORTH
Create Date 11/15/2007
--~_."
Job Address
Category 634 - Residential-Service Change
Plan
Service
.0 N/A Type . Ov~~b.e3~~____i1!-:!~~rg!~LJ..f1~______1
Volts
Circuits 8 Luminaires
Amps
100
Switches
Receptacles
Appliances
I
L
Use/Nature of ISFR / INSTALL NEW OVERHEAD SERVICE SAME LocAtioN AS W~M(5VE NEW PANEL TO BACKToCATIONREMOVE OLD:
Work IFACE BOX !
I
I
Fees: Valuat~^Af
Issued By: 01 J 16'
$1,500.00
Plan Approval $0.00
Permit Fee Paid
__~77 ,QQ
Date 11/15/2007
o Permit Voi9~
Parcelld # 1207000000
In Ihe 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 nol a party, if you perform Ihe work
described in this permit apPli~tion within an easement, the City strongly urges the permit applicant 10 contact the easement
/'. ~ f
holder(s) and to s~~~~:~~Vle ...~;:~~V_a.~~.b~~?~r~~~Ll~b.aC1iVitY. . / J '.
Signature ./~~~'-;.--o:..._<:;!/!;;'-::-~;;J.? Date )///5/0 Y
..J! .. I I
Agent/Owner f
Address
905 E SNELL RD
OSHKOSH
WI 54901 - 1431
Telephone Number (920).f33:g'7.~Q~__
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
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
Ifyou are a contractor particivating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 0
DATE
/f%5'/O )r
/ '
JOB ADDRESS )~ 1; 9 C1o.{Je[ 5+
OWNER 3t1~ \-,," ~
CONTRACTOR ~-~(''};-, ,,'- -~,,:ca c& (JJ-J"0S~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ngle Family DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE :ONew
o Change
o Temporary
ONot Applicable
TYPE jiK)verhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
)2,0 /2.J..;c)
/'(J.
~O()
Receptacles #
Circuits #
<;;
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
OFan OR Blower OFumace OAlC
DMotors DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE 1", $+ Q. \ \
).----"ee..\-~~ D~ ,Sc.vn p~ c....; p~~ ~p ~ ,nt-'!
+-C]) ~o k hl2.ll )t'1C~"~; ~"y\ ~e.,"Q\I'~ n\cJl
ODryer -MWater Heater
OElectric Sign
~e...\,V' eve.! 'hea.J Se.l.v .~p_
)"''- (~v €.. h(;, <11/ j ')l'" 1'\ A l
i~ ~(~ hox...
VALUE (Including labor and all materi~js_in~ing light fi~~s) $ ).:..~ CiJ
~~J
MASTER ELECTRICIAN /~E::.:"""'-'-'//
.- "'. r
0::
3/02