HomeMy WebLinkAbout0143706-Electric (service change) 0 CITY OF OSHKOSH No 143706
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 W 16TH AVE Owner EXCEL PROPERTIES LLC Create Date 10/19/2010
Contractor JP ELECTRIC LLC Category 634 - Residential- Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type O Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ Service change - all wiring to meet current code requirements.
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: Date 10/19/2010
Permit Voided J' Parcel Id # 0305060000
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 a: - any neces ap r•vals before starting such activity.
Signature Date /Of .26 /tom
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
Fax (920) 236 -5084 OJHKOJ 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 / o//7 /aot
JOB ADDRESS , 00 L(/ / (v +4 '` - A G l
OWNER
CONTRACTOR
CHECK IZI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead :Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK 10 ALL APPLICABLE
❑Range DDishwasher El Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ` � /L lo-e_ (. ` �
VALUE (Including labor and all materials including light fixtures) $ 7b9 2 `'
MASTER ELECTRICIAN
3/02