HomeMy WebLinkAbout0145745-Electric (service cable) e l) CITY OF OSHKOSH No 145745
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 934 OTTER AVE Owner FEDERAL NATIONAL MORTGAGE ASSOC Create Date 05/04/2011
Contractor SCOTT'S ELECTRICAL SOLUTIONS LLC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120 / 240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use /Nature of SFR / CHANGE SERVICE CABLE ON HOME **check #3422
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: '5Y ' Date 05/04/2011
❑ Permit Voided Parcel Id # 0203990000
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 W3038 SUNSHINE RD FREEDOM WI 54130 - 7368 Telephone Number (920) 850 -5480
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 oOfnsh
Division si o on of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
411)
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKOf 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
JOB ADDRESS 93 V D 'E r '4 ve
OWNER /.H-'
CONTRACTOR St_ c // S 1 << - c .-/ SjfL J I I
CHECK ® ALL APPLICABLE
USE CATEGORY
QSingle Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial.
SERVICE ❑New ❑Temporary TYPE 6erhead ❑Not Applicable
(AChange) ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 20 / , 2(%J Receptacles # Circuits #
Phase Ct �� /F
Amps .2r Switches # Fixtures #
CHECK 10 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE C4e'�� E .Sc-," c- i C
Q ,T Gam&
VALUE (Including labor and all materials including light fixtures) $ 10U CIO
MASTER ELECTRICIAN C� ' J / h F (")
3/02