HomeMy WebLinkAbout0143903-Electric (service change) C i) CITY OF OSHKOSH No 143903
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 219 N LARK ST Owner OLIVER J EDWARDS JR Create Date 11/01/2010
Contractor VAN ERT ELECTRIC CO INC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / Update service from 60amp to 100amp circuit breaker and all necessary grounding.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: a Date 11/01/2010
❑ Permit Voided I Parcel Id # 0609000000
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 9562 Telephone Number (920) 766 -3888
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 OJHKOJH
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 participatinz in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE 46.
JOB ADDRESS /■ - Lay k - f,� 0'' C�
OWNER V 1 tV'C r fCd ,41 Jr - 2-3 1 ' K)30 --
CONTRACTOR Vim^ - ►rd^ tAteka.,
CHECK B( ALL APPLICABLE
USE CATEGORY
EICQingle Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial
SERVICE [New ❑Temporary TYPE ,overhead ❑Not Applicable
I hange ❑Not Applicable ElUndergrout
RECEIVED
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
NOV 01 2010
Volts r - / Receptacles # Circuits #
Phase 1 DEPARTMENT OF
COMMUNITY DEVELOPMENT
Amps IOU Switches # Fixturl ¢FCTIoN SFRVICES DIVISION
CHECK Q ALL APPLICABLE
DRange ❑Dishwasher DGarbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE b L C * !` 3-eyM1 CP
/ jr kott41. I/tool
VALUE (Including labor and all materials including light fixtures) $ // woo `P(
MASTER ELECTRICIAN
3/02