HomeMy WebLinkAbout0127987-Electric (upgrade)
G
OSHKOSH
ON THE WATER
Job Address 1317 WESTERN ST
Contractor HOMEOWNER
CITY OF OSHKOSH
No
127987
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner INGRID M CHRISTIANSON
Create Date 11/29/2007
Category 634 - Residential-Service Change
Plan
Service
o New
120/240
. Change
o Temp
ON/A
Type
. Overhead
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of SFR\ Service upgrade to 100 amps according to current code.
Work
Fees: valuati~.n fh
Issued By: ~
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 11/29/2007
D Permit Voided I
Parcelld # 1211550000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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~~plication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secufbany necessary ppro s bef sta' g such activity.
-,;;/" . '- -,
Signature . Date
//b9/o7
I '
Address
OSHKOSH
WI 5490 - 3669 Telephone Number
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, VVI54903-l130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THF WATFR
· 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
J ou are a contractor artici atin in the Permit Fee Account S stem and have ade
if yoU want this processed throu'Zh your account 0
JOB ADDRESS /3/7 wesferl1 51-feet-
OWNER I n tj r /d C h r J' S +;'0.. 11 .5 tJ r1
CONTRACTOR 1-/0)1/1(2 0 ,~Jne ("
DATE
/ ! Ie:< J /0 7
CHECK 0 ALL APPLICABLE
US): CATEGORY
0Single Family DDuplex
DMulti-Family
DRental
DCommercial
o Industrial
SERVICE DNew
BChange
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
/
/ DC>
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
Dl)ishwasher
gPumace
DGas Pumps
DGarbage Disposal
~C
o Other
DDryer DWater Heater
DElectric Sign
w/-Pus-e s
( .
me+~(
VALUE (Including labor and all materials including light fixtures) $ / ~OO -
MASTER ELECTRICIAN
9cJo- 7 /0 - Lj{)~ I
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3/02