HomeMy WebLinkAbout0144127-Electric (service change) CITY OF OSHKOSH No 144127
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 331 MASON ST Owner GREGORY G /JODY L GELHAR Create Date 11/17/2010
Contractor HULLAR ELECTRIC LLC Category 634 - Residential- Service Change Plan
Service 0 New • Change 0 Temp O N/A Type • Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of !SFR/ Service change due to bad cable
Work
I
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 11/17/2010
❑ Permit Voided Parcel id # 0610260000
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 ry approve eff e starting such activity.
Signature i �G /� ��irl✓ 1 Date / � ^J A)
Agent/Owner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 233 -3667
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 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 ❑
DATE 1 / / /7 /i
JOB ADDRESS 3 31 Sr,
OWNER J „a(_
CONTRACTOR J w j' c
CHECK ALL APPLICABLE
USF,,CATEGORY
Ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑N ['Temporary TYPE ❑Overhead ['Not Applicable
Whange :Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 2c) / Receptacles # Circuits #
Phase
Amps ( cu . Switches # Fixtures #
CHECK gl ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑ Fan OR Blower ❑Furnace ❑A/C ['Electric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE S r - i c r c (,,
VALUE (Including labor and all materials including light fixtures) $ : O3 .0'2)
MASTER ELECTRICIAN
3/02