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HomeMy WebLinkAbout0142012-Electric (service change) CITY OF OSHKOSH No 142012 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3759 GLENKIRK LN Owner VACANT Create Date 05/11/2010 Contractor JAKE SCHOMMER ELECTRIC INC Category 634 - Residential - Service Change Plan Service 0 New • Change 0 Temp 0 N/A Type O Overhead • Underground Volts 120/240 Circuits Luminaires Amps 100 Switches Receptacles Appliances Use /Nature of SFR / Use existing meter pedestal and install new 1 1/14" PVC conduit underground and 4 -wire system wiring to a new Cuttier Hammer Work 100 amp panel inside trailer. Fees: Valuation /�1 $900.00 Plan Approval $0.00 Permit Fee Paid $60.00 Issued By: /ivr Date 07/13/2010 ❑ Permit Voided Parcel Id # 1278400000 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 Agent/Owner Address 247 HILLCREST LN FOND DU LAC WI 54935 - 4730 Telephone Number (920) 921 -4877 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 Q 9 rH ON Mt W ER ELECTRICAL PERMIT APPLICATION All information after bold categories most 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 5100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee ccount System and have adequate funds. check here if you want this processed through your account Q DATE 7 - JOB ADDRESS 3 S ) G leet ICi t- (6g1k4.os OWNER t10� b me 5broe . CONTRACTOR Q'q.k E Seko .11714-c- a-‘11 ores to . covi Lkt.-. _ 59 CHECK E1 ALL APPLICABLE / 9).p) `J- 1 USE CATEGORY l © Single Family C1Duplex °Multi- Family °Rental °Commercial °Industrial SERVICE kiNew °Temporary TYPE °Overhead °Not Applicable Change °Not Applicable lndergound FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / a- o Receptacles # Circuits It Phase l Amps /00 Switches # Fixtures # CHECK 10 ALL APPLICABLE °Range °Dishwasher DGt bage Disposal DDryer °Water Heater rn °Fan OR Blower °Fuace °Electric Sign ©Motors °Gas Pumps °Other DESCRIPTION OF ALL WORK BEING DONE kse e 3 - ,vt r l 6144-41 ` ∎S AA V\+or> t t l e" rye e esvtdK t� c,�,.,�n - st- w i to wtc -11/44 CArac MA.A. t%tc-r et, A • - I VALUE (Including labor and all materials Including light fixtures) S eo MASTER ELECTRICIAN 1 5C-k0 YM-h 1 (e 1(e — c-e( We- z, P ykk4 su wtpw.e Si 'She ke 4 1 r 3fO2 CLCCesS - o � t — l) - —D pe B i t lae s r� t -il W aTt WeetC o b 1 ' let c C QPQ.A.t. 1 q,1,6 Q-r-