HomeMy WebLinkAbout0139877-Electric (service change) 0 CITY OF OSHKOSH No 139877
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 673 MOUNT VERNON ST Owner JENNIFER L NASON Create Date 02/25/2010
Contractor EFFICIENT ELECTRIC, LLC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / SERVICE CHANGE FROM 60 TO 100AMP
Work
Fees: Valuation $950.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: `` Date 02/25/2010
El Permit Voided I Parcel Id # 0402660000
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 an • • i s befo !starting such activity.
Signature / / _ / I�� Date .4422/20_
Agent/Owner
Address 1648 WESTERN ST OSHKOSH WI 54901 - 2869 Telephone Number (920) 915 -8881
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 WI 5
Oshkosh, WI 54903 -1130
C41161)
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 you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE
JOB ADDRESS
6' 3 A4-/- (,/i6'i S
OWNER J Z o/ I /I -re ( NAjsdv7
CONTRACTOR iC l e4 F/e C 4/ t C
CHECK IN ALL APPLICABLE
USE CATEGORY
ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑ Temporary TYPE JA Overhead ❑Not Applicable
Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps /00 Switches # Fixtures #
CHECK Q ALL APPLICABLE
DRange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE / 6'11
a
t■T
VALUE (Including labor and all materials including light fixtures) $ 9 5�, QC C
MASTER ELECTRICIAN ( Ta l l J / c , ' -
3/02