HomeMy WebLinkAbout0143425-Electric (service change) (1) CITY OF OSHKOSH No 143425
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1003 OAK ST Owner A G /LUCILLE A OSWALD Create Date 10/04/2010
Contractor YOURR ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground 1
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / Change out old 100amp fuse box, install new 100amp service (parascope service) w2" ridged pipe and relocate meter outside.
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 10/04/2010
❑ Permit Voided Parcel Id # 1110020000
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 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec- nry approvals before starting such activity.
Signature /�/' Date D V
Agent/Owner
Address PO BOX 311 DALE WI 54931 - 311 Telephone Number (920) 779 -6989
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 0JHK01H
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 - 1 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 c:2 1 /Q
JOB ADDRESS (033 A 577
I
OWNER 4-16 • • ,
CONTRACTOR cLucr iLEa�� /1'G_ t (J C
CHECK ALL APPLICABLE
USVATEGORY
Ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE verhead ❑Not Applicable
EU2tiange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER P e rC./
Volts • / • ` Receptacles # Circuits #
Phase
Amps rest Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A /C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESC ' IPF�ION OF ALL WORK BEING DONE ,1 ,�/ _ d', t') Q bCX
WV a) o l ' ' Aa.sco r e by, 2 "
VALUE (Including labor and all materials including light, fixtures) $ 1c5W, 3
r` l
MASTER ELECTRICIAN - •
3/02