HomeMy WebLinkAbout0142720-Electric (service change) C i) CITY OF OSHKOSH No 142720
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 747 BISMARCK AVE Owner KENNETH J BUTKIEWICZ Create Date 08/23/2010
Contractor D.KAL ELECTRIC LLC Category 634 - Residential - Service Change Plan
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead Q Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR/ Service change.
Work
•
Fees: Valuation _ $850.0Q. Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: i /I r.: : , ,% Date 08/23/2010
p
❑ Permit Voided Parcel Id # 0602540000
In the performance of this work 1 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 , Alp. application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to any Qe -s ry ap.r. -Is • - • -= starting such activity.
Signature , ‘4,_ ' .r�� j� — Date
Agent/Owner
Address 4403 RUSHFORD AVE. OMRO WI 54963 - 9606 Telephone Number (920) 312 -3525
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 OfHKOJH
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 ❑
R; DATE 0 -,;23'-/e)
JOB ADDRESS 7 T7 /� i Sh't4rc `(
OWNER Keh Pct+
CONTRACTOR D. KR r £/ c /s C
CHECK Q ALL APPLICABLE
USE CATEGORY
S ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE t gOverhead ❑Not Applicable
$Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 20 / 0 cC Receptacles # Circuits #
Phase / �f
Amps /de) Switches # Fixtures #
CHECK H ALL APPLICABLE
D Range ❑Dishwasher ❑Garbage Disposal DDryer El Water Heater
❑ Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 5 U %re e4ti'h fL°
VALUE (Including labor and d all materials including Light fixtures) $ gco. o
DC1 MASTER ELECTRICIAN Vk; e I k» I( Q S
3/02