HomeMy WebLinkAbout0145778-Electric (service change) 0 CITY OF OSHKOSH No 145778
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1420 CAMBRIDGE AVE Owner TODD N /ROBIN OXLEY Create Date 05/06/2011
Contractor KOLLMANN ELECTRIC LLC 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 200 Switches Receptacles
Appliances
Use /Nature of SFR / SERVICE UPGRADE
Work
Fees: Valuation ) $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: a Date 05/06/2011
0 Permit Voided Parcel Id # 1311150000
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 se re any necess , epprgv s before starting such activity. _
Signature / Q ./ ice Date (/
Agent/Owner
Address PO BOX 26 VAN DYNE WI 54979 - 26 Telephone Number (920) 273 -0701
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 O�� I�O��I
Fax (920) 236-5084
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 / C. Pi/ r 2 /"7`� ve
OWNER /O //" OX ey
CONTRACTOR J " o yh� �, / H ,e - c LL
CHECK la ALL APPLICABLE
USE CATEGORY
-Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE tNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable , Underground
FILL IN / THE APPROPRIATE BLANK WITH THE NUMBER
Volts !) / 2 7' Receptacles # Circuits #
Phase
Amps 00 Switches # Fixtures # —
CHECK 0 ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑ Fan OR Blower ❑Furnace DA/C DElectric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 7-pero4
VALUE (Including labor and all materials including light fixtures) $ 700
MASTER ELECTRICIAN 7 t 9 ce ' /cr,/ing- t
3/02