HomeMy WebLinkAbout0132535-Electric (service change)CITY OF OSHKOSH No 132535
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1038 N MAIN ST Owner ARIEN FREDENHAGEN Create Date 08/27/2008
Contractor ALL BRIGHT ELECTRICAL SERVICES I~ Category 634 -Residential-Service Change Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ^ Underground
Volts 1201240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
I
Use/Nature of
Work
(2) 100AMP S
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ~~~) Y~~' Date 08/27/2008
^ Permit Voided
Parcelld # 1001470000
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 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
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.
L
01HKO1H
ON THE WATER
• 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 Darticipating in the Permit Fee Account Svstem and have adequate funds check here
if you want this processed through vour account ^
DATE Z ~
JOB ADDRESS ~d ~ /`J /t/~ lUJ/~~'•(/
OWNER ~/,'~~/ f%~l~'.!~ ~/A~~/~H
CONTRACTOR /~GL :~j,4~,T~h' ~ ~L L-'CT~~G
CHECK 0 ALL APPLICABLE
USE CATEGORY
QSingle Family ,f~Duplex ^Multi-Family
SERVICE ^New ^Temporary
Change ^Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts _/ZCi / ~ iG Receptacles #
Phase ~
Amps ~ ~ ~QO Switches #
CHECK Cf ALL APPLICABLE
^Range ^Dishwasher ^Garbage Disposal
^Fan OR Blower ^Furnace ^A/C
^Motors ^Gas Pumps ^Other
^Rental ^Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
Underground
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE Jc~i1 I/ ~C~ C/r//~ ~/G
VALUE (Including labor and all materials including light fixtures) $ ~ ~~G' CX~
MASTER ELECTRICIAN ~..~ ~ ~~'J li~~C~"
3/02