HomeMy WebLinkAbout0145766-Electric (service change) I CITY OF OSHKOSH No 145766
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2018 WINCHESTER AVE Owner MARY A HESSEFORT Create Date 05/04/2011
Contractor HOEHNE ELECTRIC Category 634 - Residential - Service Change Plan
Inspector
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\ Service change. * *debit acct
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 05/05/2011
❑ Permit Voided! Parcel Id # 1214140000
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 appli -tion within an easement, the City strongly urges the permit applicant to contact the easement
holders) and to s ,,� .6prov- - before starting such activity.
Signature / Date - 5
Agent/Owner �
Address N1798 JUNCTION LN BERLIN WI 54923 - 8923 Telephone Number (920) 361 -7242
•
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 Se ue L\ `� — �' �' t A-u -'-
Division of Inspection Services a ;c
P.O. Box
Oshkosh, W WI
I 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 O. OfH
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 0 1 Ltd i n c,h e s�v^
OWNER Mil-n.3 l e55eY - Vo r
CONTRACTOR 1 F--(sed -- R,1
CHECK IN ALL APPLICABLE
U CATEGORY
gle Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
' SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
Xhange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,4) O /C) Receptacles # Circuits #
Phase
Amps /D Switches # Fixtures #
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE --) C'U /Cte &,O ( Di
VALUE (Including labor a s induct' 'ght fixtures) $'o - 00
//e-, \
MASTER ELECTRI
3/02