HomeMy WebLinkAbout0145949-Electric (service change) 0 CITY OF OSHKOSH No 145949
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1633 NEBRASKA ST Owner JUSTIN K ESLINGER Create Date 05/18/2011
Contractor JTC IDEAL ELECTRIC, INC. Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type • Overhead 0 Underground
Volts 120/240 Circuits 1 Luminaires
Amps 100 Switches Receptacles 1
Appliances
Use /Nature of SFR / Install one 240 volt receptacle below panel (clean up from fire damage). Power was cut at pole. We would like to enegize
Work existing service not affected by the fire.
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: •.4� Date 05/18/2011
❑ Permit Voided I Parcel Id # 0305730000
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 1396 PLANE SITE BLVD DE PERE WI 54115 - 9033 Telephone Number (920) 347 -9244
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 oOfsh
Division si o Inspection on of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
1
Phone (920) 236 -5050
Fax (920) 236 - 5084---- ��� - -�
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 _ ~ /3— (
JOB ADDRESS /633 1461 j' 1 •
OWNER
CONTRACTOR (F, j�,�� —G 2 72/ L'_ fit) Q— .
CHECK 0 ALL APPLICABLE
USE CATEGORY
%Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ROverhead ❑Not Applicable
❑Change C,tC!57'wa, ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 / Receptacles # + Circuits # 1
Phase
Amps i O Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A /C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ar.,o Q, - 2.40 Ver `
.
4e • f W a CAA* 0:4 P w o-.. 1 ' " T,
,/
VALUE (Including labor and all materials including light fixtures) $ (9,0Z) e� RECEIVED
MASTER ELECTRICIAN _��rJ!
Cp(e Y5 MAY 18 2011
DEPARTMENT OF
COMMUNITY DEVELOPMEN"?
INSPECTION SERVICES DIVISION