HomeMy WebLinkAbout2008-Electric (service entrance)CITY OF OSHKOSH No 132456
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RE
ON THE WATER
Job Address 1140 PIERCE AVE Owner ROBERT A/DEBRA N KNUDSEN
Contractor HOMEOWNER _ _ Category 634 -Residential-Service Change
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead
Volts 120/240 Circuits
Amps 200 Switches
Appliances
Use/Nature of
Work
CORD
Create Date 08/11/2008
Plan
Q Underground
Luminaires
Receptacles
FR\ Replace the service entrance according to current code due to deteriorated cable.
Fees: Valuation ~ $375.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By:
Q Permit Voided
Date 8/26/2008
Parcel Id # 1605870000
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 application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur ne ssary approvals before starting such activity.
Signature - Date ~/ Z~ //~}~'
Address
AgenUOwner
OSHKOSH WI 5490 - 0000 Telephone Number
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 pertormed 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
01HKO.lH
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 you are a contractor participating in the Permit Fee Account Svstem and have adequate funds check here
if you want this Drocessed through vour account ^
DATE g~-~~~~~
JOB ADDRESS //5'U /~Lcrc~ fav~
OWNER /~o-l~ ~u~sp~r
CONTRACTOR (~Lvner
CHECK ~ ALL APPLICABLE
USE CATEGORY
J~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE. ^New ^Temporary TYPE C~Overhead ^Not Applicable
Change ^Not Applicable Underground
FILL INTH. /E APPROPRIATE BLANK WITH THE NUMBER
Volts /Z~1 l Z `~6 Receptacles # Circuits #
Phase / .~
Amps Z~ Switches # Fixtures #
CHECK H ALL APPLICABLE
^Range ODishwasher ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower OFurnace ^A/C ^Electric Sign
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE C'
~,75 z~
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN ,.
3/02