HomeMy WebLinkAbout0127903-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 2034 MENOMINEE DR
CITY OF OSHKOSH
No
127903
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HELEN G MUELLER REV TRUST
Create Date 11/20/2007
. Change 0 Temp
ON/A
Type 0 Overhead
Plan
. Underground
Contractor ALL BRIGHT ELECTRICAL SERVICES It-
Category 634 - Residential-Service Change
Service
o New
120/240
Circuits
Luminaires
Volts
Receptacles
Amps
200
Switches
Appliances
Use/Nature of SFR\ Undergound service change according to current code.
Work
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$60.00
Issued By:
<f/T~
Date 11/20/2007
D Permit Voided I
Parcelld # 1512000000
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 s u any ne~Y'Y.JPJ>rOja~s before starting such activity. I / /
Signature "I" t:ft/vc-- Date / / I ~/ t:? 7
Agent/Owner
Address
8455 S OAKWOOD AVE
NEENAH
WI 54956 - 9550
Telephone Number (920) 428-4433
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 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
normal permit fee, which ever is greater.
OR
If vou are a contractor participatinrz in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account D
DATE
p/ZV/~7
f ,
JOB ADDRESS U ~ t.1 (J1'tf110~! hLe
OWNER W.JY4/g ;44(/gl"#~
,
CONTRACTOR /f?'J, ~/t~t.?~7 .c ?FC-r
CHECK 1t1 ALL APPLICABLE
USE CATEGORY
Efsingle Family DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
SERVICE DNew
$Change
DTemporary
DNot Applicable
TYPE DOverhead
9JUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
(PO I ~t7
/
poO
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 1t1 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 /Jff~t-k~,. "7 ff /ft<Z..tL
VALUE (Including labor and all materials including light fixtures) $ / c:Jt)c/. OCJ
MASTER ELECTRICIAN -;:j/j/l1E7' 1/ //4?,G~C;C
3/02