HomeMy WebLinkAbout0140553-Electric (service change) (1) CITY OF OSHKOSH No 140553
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1349 CONGRESS AVE Owner WILLIAM R/CAREY R HOLTZ Create Date 04/19/2010
Contractor BRIGHT STAR ELECTRICAL SERVICES Category 634 - Residential - Service Change Plan
Service Q New • Change O Temp O N/A Type ! Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances —
Use /Nature of jSFR\ Replace service panel, bring service up to current code.
Work
Fees: Valuation 4. $600.00 Plan Approval $0.00 Permit Fee Paid $32.00_
Issued By:
k tY
Date 04/19/2010
❑ Permit Voided Parcel Id # 1205250000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshk.: has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe pplication in a easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se : any necess- apiovals be • - startin. such activity.
i
Signature O' Z41' Date ;Lt--/
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 O�I l�O�f l
Fax (920) 236-5084
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 q/ /0
JOB ADDRESS / 3 Li 7 ( no. i v 'C SS
OWNER B;ii b10 / /
CONTRACTOR 8r,_1.± 3t" ' fly.
CHECK la ALL APPLICABLE
USE CATEGORY
S ingle Family ❑Duplex ❑Multi - Family :Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE Xverhead ❑Not Applicable
EIChange ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 °1 d / V -0 Receptacles # Circuits #
Phase 1
Amps 100 Switches # Fixtures #
CHECK gi ALL APPLICABLE
D Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
DFan OR Blower ['Furnace ❑A/C DElectric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Re pct Ct- 5Q r o jce R 17 e 1
VALUE (Including labor and all mate , includin. g, fixture ) $____64::)
MASTER ELECTRICIAN 4 0 V �•
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3/02