HomeMy WebLinkAbout0140552-Electric (service change) 0 CITY OF OSHKOSH No 140552
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 654 CENTRAL ST Owner ROBERT S BEZIO Create Date 04/16/2010
Contractor BRIGHT STAR ELECTRICAL SERVICES Category 634 - Residential - Service Change Plan
Service New • Change 0 Temp 0 N/A Type • Overhead _ - 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
I
Use /Nature of TRIPLEX Rework service to provide access to OCPDs to all tenants. All work according to current code.
Work
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ti7 Date 04/19/2010
Permit Voided ; Parcel Id # 0704680000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshko• has no .. thority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permi a. .lication in a easeme the City strongly urges the permit applicant to contact the easement
holder(s) and to secu - . y necess. , apc� ovals le star suc activity.
•/ Lt
Signature Date
Agent/Owner
Address 130° OSHKOSH AVE OSHKOSH WI 54902 - 2632 Telephone Number 920 - 232 -8047
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 Of HKOJH
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 ❑ LJ Q j'�
DATE I ' [ � V
JOB ADDRESS 6,S 1 (ie. h 1 1
OWNER 8 0/ 2 8E' Z, Q
CONTRACTOR f ri Se.rViCe.
CHECK BI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑DuplexIMulti Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ,Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 / Receptacles # Circuits #
Phase 1
Amps o` ZOO Switches # Fixtures #
CHECK 1Z1 ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer El Water Heater
❑ Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 1 e- I OC ate & r v"c. e
Rthe-13
VALUE (Including labor and all mater including .� h fixtur •) $ / lJ Q o, O
MASTER ELECTRICIAN
3/02