HomeMy WebLinkAbout0145764-Electric (service change) 0 CITY OF OSHKOSH No 145764
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 856 W 12TH AVE Owner MARY S FREI Create Date 04/13/2011
Contractor SOLAR ELECTRIC SERVICES INC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ Service change due to 8' rule violation
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 05/05/2011
❑ Permit Voided j Parcel Id # 1303260000
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 ap • tion with an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure y necess a als before starting such activity.
Signature Date ))
Agent/Owner
Address 2303 JACKSON ST, SUITE C OSHKOSH WI 54901 - 8535 Telephone Number (920) 231 -3990
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.
Oct. 6. 2010 11:11AM CITY OF OSHKOSH INSPECTION No.3138 P. 1
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Post - ite Fax Note 7671
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City of Oshkosh 7o [ , From (V -
Division of Inspection Service p 1 co
P.O. Box 1130 �o J
Oshkosh, WI 54903 -1130 Phone # Phone # ?4 ..
Phone (920) 236 -5050 fax q 6,- 715' fax # — .i - fJcf s'
Fax (920) 236 -5084 OJHK)JH
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 pennit(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 0
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JOB ADDRESS O S W I s
OWNER QY (, ) re—
CONTRACTOR S Gig' )I Q -4-A
CHECK Wl ALL APPLICABLE
USE CATEGORY
11Single Family ❑Duplex ❑Multi - gamily ❑Rental ❑Commercial ❑Yndustrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead DNot Applicable
- RIChange ❑Not Applicable AlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts Ja0 / ay0 Receptacles # Circuits #
•
Phase Singiv,
Amps 'O,c Switches # Fixtures #�
CHECK Bl ALL APPLICABLE
DRange DDishwasher ❑Garbage Disposal DDryer DWater Heater
❑Pan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ / J O 6 0 �
MASTER ELECTRICIAN SSIc.l d
3/02