HomeMy WebLinkAbout0145353-Electric (service change) 0 CITY OF OSHKOSH No 145353
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 539 W 6TH AVE Owner LYNDA A GESELL Create Date 04/05/2011
Contractor ZWIERS ELECTRIC INC Category 634 - Residential -Service Change Plan
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120 / 240 Circuits 2 Luminaires 0
Amps 200 Switches 0 Receptacles 2
Appliances Dryer, Washer
Use /Nature of DUPLEX / CHANGE SERVICE FROM 60 TO 200 AMPS AND ADD WASHER & DRYER CIRCUIT IN BASEMENT **check #12773
Work
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: .S.--- Date 04/05/2011
❑ Permit Voided I Parcel Id # 0600580000
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 W369 COUNTY ROAD H FREMONT WI 54940 - 8664 Telephone Number (920) 841 -5838
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 - Inspection Services Division - Electrical Permit Application Page 1 of 2
Division of Inspection Services
> 215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
_ / f __ k. 4 `5 Phone (920) 236 -5050
/
ELECTRICAL PERMIT APPLICATION
All information with * next to it 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.
If you are a contractor participating in the Permit Fee Account Svc and have adeauate
funds, tvoe YES i f you want this processed through vour account
*30B ADDRESS 539 EST / -r H ST
*OWNER T M GE SELL
*CONTRACTOR w E1Z S EL sc t.0
*USE CATEGORY
Single Family _ Duplex Multi Family !XRental Commercial Industrial
*SERVICE
New Temporary ' `' hange Not Applicable
*TYPE REC'EPVED
' : vAOverhead Not Applicable _ Underground APR 0 4 2011
utFAR ! NitN I OE
COMMUNITY DEVELur MENT
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER INSPECTION SERVICES LIVISION
Volts iao ay0 Receptacles o Z Circuits
Phase
http: / /www.ci.oshkosh.wi.us/ Community_ Development / Inspection _Services /Permit App_... 3/30/2011
City of Oshkosh - Inspection Services Division - Electrical Permit Application Page 2 of 2
Amps aDO Switches o Fixtures
CHECK ALL APPLICABLE /
0 Range 0 Dishwasher El Garbage Disposal l Dryer
El Water Heater El Fan OR Blower ❑ Furnace 0 A/C
Electric Sign Motors ❑ Gas Pump Other k u A S i
*DESCRIPTION OF ALL WORK BEING DONE
(90 Z'o aoO A A P S E. R Vi.CE C AA )Q
444 k•OAS CE2 4- biLY cz2c�� z N
SEn\Ei T'
*VALUE (Including labor and all materials induding light Fixtures)
VDO,
*NALECTRICIAN
Submit Reset
http: / /www.ci.oshkosh.wi.us/ Community _Development /Inspection Services/Permit App_... 3/30/2011