HomeMy WebLinkAbout0142014-Electric (service change) ' 1 CITY OF OSHKOSH No 142014
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1925 OREGON ST Owner MARC S DAVIS/TENNELLE L BRIESE Create Date 07/13/2010
Contractor HOULE ELECTRIC LLC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / Service change. Correct Violations
Work
Fees: Valuation $700.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: a Date 07/13/2010
❑ Permit Voided I Parcel Id # 1406360000
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 ces pprovals f e starting su a 'vity.
Signature Date 3 —/Q
Agent/Owner
Address 6264 SHEA RD OSHKOSH WI 54904 - 6866 Telephone Number (920) 589 -3646
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 01F- KOJH
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 adequatefunds, check here
if you want this processed through your account ❑
DATE - 2 — / 3 —/0
JOB ADDRESS /9125 0 Cam. G n 54.
OWNER /i2a.(' C ,c— ti /5
CONTRACTOR 64 Gtr /c- /» G
CHECK 0 ALL APPLICABLE
USE CATEGORY
®Single Family ODuplex OMulti Family ORental ❑Commercial ❑Industrial
SERVICE ONew OTemporary TYPE El Overhead ONot Applicable
13Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /t(% /024(0 Receptacles # Circuits #
Phase /
Amps /00 Switches # Fixtures #
CHECK 0 ALL APPLICABLE
ORange ODishwasher OGarbage Disposal ODryer ❑Water Heater
OFan OR Blower OFurnace OA/C OLiectric Sign
OMotors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE C e. r ('ec -t 0 /v® -h `G G
VALUE (Including labor and all materials induding light fixtures) $ 70O . 0O
MASTER ELECTRICIAN _
3/02