HomeMy WebLinkAbout0143476-Electric (service change) I CITY OF OSHKOSH No 143476
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 72 EVELINE ST Owner ANTHONY J LAMERE Create Date 10/06/2010
Contractor SOLAR ELECTRIC SERVICES INC Category 634 - Residential - Service Change Plan
Service New • Change O Temp O N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ Change service due to bad meter socket. – —
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 10/06/2010
❑ Permit Voided Parcel Id # 0803340000
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 2303 JACKSON ST, SUITE C OSHKOSH WI 54901 - 8535 Telephone Number (920) 231 -3990
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.
Oct, 6, 2010 11:11AM CITY OF OSHKOSH INSPECTION -, � 171:10
-- -)—'- -' No. 3138 P. 1
p Fax Not®
7671 vaiM /4
City of Oshkosh
Division of luspectiop Service Co. r P ,
co./o�� •
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P.O. Box 1130
Oshkosh, WI 54903 -1130 p henc
Phone (920) 236 -5050 F ex I
Fax (920) 236 -5084 O --KQ'H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All iafbnnadon after bold categories must be provided.
Incomplete applications will not be processed.
• Application(a) 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
I 'ou are a contractor • artici, alin in the • .1 _ . e 1, a d have ade• uale unds check here
If vow want this processed throueh your account t
DATE io j 6 11 c,
JOB ADDRESS 7) _ ` / n 't
OWNER 14 ' ° r �� o w .x
CONTRACTOR C a f e F I {
CHECK gi ALL APPLICABLE
USE CATEGORY
L ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial Dindustrial
SERVICE DNew CI Temporary TYPE O0v'erhead DNot Applicable
❑Change ❑Not Applicable ['Underground
FILL IN THE APPROPRIATE BLANK, WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches 4 Z+'ixtures #
CIiECK 6a ALL APPLICABLE
❑Range ❑Dishwasher El Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Eilower ❑Furnace El A/C ❑Electrio Sign
❑Motors ❑Oas Pumps DOther
DESCRTPT ON OF ALL WORK BEING DONE
A 0
VAL,YJE (Including labor and all materials including light fixtures) $ Sc96
MASTER ELECTRIC
V
Received Time Oct. 6. 2010 11:21AM No. 3140 3/0'