HomeMy WebLinkAbout0130644-Electric (service change)CITY OF OSHKOSH No 130644
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 GUENTHER ST Owner JOHN UMARY E SCHROEDER Create Date 05/30!2008
Contractor VAN ERT ELECTRIC CO INC Category 634 -Residential-Service Change Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ~ Underground __
Volts 120!240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of FR /REPLACE MAIN BREAKER PANEL (VE Job #F2105-AR) **check #3375
Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $46.00
Permit Voided
Date 06/17/2008
Parcel Id # 0607450000
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
AgenUOwner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 9562 Telephone Number 920-766-3888 462-14<
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 of Inspection Services
P.O. Box 1 I30
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084 ',
• ON THE WATER
ELECTRICAL PERMIT APPLl~~v~®
All information after bold categories must be o
Incomplete applications will not be processed. ~~N 16 208
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to O~~~x 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resul~~ ~. ~g @~~I~®1Q0 plus
normal gernut fee, which ever is greater.
OR
If you are a contractor partieiDating in the Permit Fee Account Svstem and have adequate funds check h.
i~vou want this processed throu~vour account ^ ,r~~ f q
DATE '1~ r`~ 1 vo
~, 4-~0- 44-~ ~
CHECK H ALL APPLICABLE
USE CATEGORY
CHECK fi~ ALL APPLICABLE
uigle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ^Not Applicable
^Change. ^Not Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Votts ~'~ / /•1-(7 Receptacles # Clrcults #
Phase /
Amps l D~ ' Switches # Fixtures #
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower ^Fumace ^A/C ^Electric Sign
OMotors ^Gas Pumps. ^Other
DESCRIPTION OF ALL WORK BEING DONE~II~c~( I2~~~pt" ~~.
VALUE (Including tabor and all materials including light fixtures) $ `~~
MASTER ELEC'T'RICIAN c ~ ~~~~~ /~ `~
~=~ips ~2 I~rmr~ ~~ db:
3/
.TOB ADDRESS /~ ~ U~~-W~~