HomeMy WebLinkAbout0143677-Electric (alter service riser) CITY OF OSHKOSH No 143677
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 316 E PARKWAY AVE Owner MICHAEL J ROGERS Create Date 08/25/2010
Contractor M.R. TEAS INC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type fi Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances 920- 858 - 6510 -owner
Use /Nature of SFR\ Alter service riser due to 6' rule issue. All facets of the service to meet current code at time of repair.
Work
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: - 5--, Date 10/18/2010
11 Permit Voided I Parcel Id # 0403310000
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 apj 1 . o; - ement, the City strongly ur• - permit applicant to contact the easement
holder(s) and to - 're - - : - .pro be •re s ..'• : I activity.
Signat ;;r � Date /o - / � ' /e)
Agen •wner
Address 7065 WSODENSHOE RD AH WI 54956 - 9747 Telephone Number (920) 720 -2288
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 WI 5
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKOJH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
t /
DATE i ( / L: — / ( �
JOB ADDRESS 1( ri nl k
OWNER
CONTRACTOR (i - ri? 6 C
CHECK IN ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi Family ❑Rental DCommercial ❑Industrial
SERVICE ❑New ['Temporary TYPE -- Overhead ❑Not Applicable
.- FiChange [Not Applicable CJUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Li Receptacles # Circuits #
Phase
Amps I► Switches # Fixtures #
CHECK EB ALL APPLICABLE
DRange ❑Dishwasher ['Garbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C ['Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE A f fie 7 ) ,s-Q ( ( Y)-7,
VALUE (Including labor and all mater' -Incl$ding light fixtures) $ j t
MASTER ELECTRICI('` 4 A . ;
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3/02