HomeMy WebLinkAbout0143227-Electric (service change) 0 CITY OF OSHKOSH No 143227
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1225 GRAND ST Owner KRISTINE L ACKATZ Create Date 09/20/2010
Contractor JP ELECTRIC LLC Category 634 - Residential - Service Change Plan
Service p New 0 Change O Temp O N/A Type • Overhead O Underground
Volts 120 / 240 Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / SERVICE CHANGE
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: ��� Date 09/20/2010
❑ Permit Voided Parcel Id # 1507000000
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 ecure any ne ry provals before starting such activity.
Signature l
Date 9 �°/ �!
Agent/Owner
Address 1724 OREGON ST OSHKOSH WI 54902 - 6924 Telephone Number (920) 420 -2411
•
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 01HK01H
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 7 /27-6 /
/c JOB ADDRESS 25
OWNER
CONTRACTOR C3
CHECK IZI ALL APPLICABLE
USE CATEGORY
►:single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE J Overhead DNot Applicable
Lhange [Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / /)- `{C Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK E+1 ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater
D Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE (' U »e e C b
VALUE (Including labor and all i aterials includin light fixtures) $ Pe12
MASTER ELECTRICIAN
3/02