HomeMy WebLinkAbout0146127-Electric (service change) e l) CITY OF OSHKOSH No 146127
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1321 GROVE ST Owner HERBERT R STEWART Create Date 05/12/2011
Contractor LEWINS ELECTRIC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service FO New • Change O Temp O N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ Service change per CN and porch wiring.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 05/31/2011
❑ Permit Voided I Parcel Id # 1509460000
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 202 E MCKINLEY ST APPLETON WI 54915 - 0 Telephone Number (920) 735 -1849
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
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 aarticiaating in the Permit Fee Account System and have adequate funds, check here
i f you want this processed through your account ❑
DATE - / /fy
JOB ADDRESS / ?2 / 6 /eO e4- s
OWNER l `'I S %'`L'U/Jf�f
CONTRACTOR C
CHECK H ALL APPLICABLE
U_Sg„CATEGORY
Ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE �❑N ;w ❑Temporary TYPE IA verhead ❑Not Applicable
E Change ❑Not Applicable ['Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
•
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK FA ALL APPLICABLE
[Mange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ■ . R E C E 1 V E D
MAY 23 L U11
DEPARTMENT OF
VALUE (Including labor and all materials including light fixtures) $ / MO COMMUNITY DEVELOPMENT
J IN SERVICES DIVISION
2iY�
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MASTER ELECTRICIAN e
3/02