HomeMy WebLinkAbout0143507-Electric (service change) CITY OF OSHKOSH No 143507
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 158 W 18TH AVE Owner RONALD UKAREN J STOCKINGER Create Date 10/07/2010
Contractor HOMEOWNER Category 634 - Residential - Service Change Plan
Service New • 0 Temp a N/A Type • Overhead -- 0 Underground
p
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ Service change due to residing house - Ridgid mast through the roof using existing panel. All grounding and entire installation to
Work meet current code requirements.
Fees: Valuation $250.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: //(k. Date 10/7/2010
Permit Voided Parcel Id # 1400030000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11 -22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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 `\'‘.), Ski‘ V 1,(912
Date \O ' \ - \ 0
Agent/Owner
Address OSHKOSH WI 5490 - 6940 Telephone Number 232 -3708
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 Of HKOf H
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 ‘,C) " _ `()
JOB ADDRESS `J V V V AV OS� ASV \
OWNER Ili.AI • . + , i . A tea_ • t " ..
CONTRACTOR
CHECK Ei ALL APPLICABLE
USE CATEGORY
0 Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE tgOverhead ❑Not Applicable
ErChange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Lk] () Switches # Fixtures #
CHECK FZ1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer CI Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE '5r vO_F' C,\C‘ QP. 'AAA. e
VALUE (Including labor and all materials including light fixtures) $ c5) . CD
`` _ _
MASTER ELECTRICIAN C1,�}�_v 3 �ok r Z J
3/02