HomeMy WebLinkAbout2011-Electric (service change) (1) CITY OF OSHKOSH No 146171
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1317 S MAIN ST Owner KOMOROWSKI PROPERTIES LLC Create Date 06/02/2011
Contractor SCHAFER ELECTRIC INC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / Service change "check #1386
Work
Fees: Valua on $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 06/02/2011
0 Permit Voided I Parcel Id # 0304260000
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 6364 COUNTY ROAD A NEENAH WI 54956 - 9717 Telephone Number (920) 725 -2031
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 Oshlcosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone(920) 236-5050
Fax (920) 236-5084 OfHKO/H
OM THE WATER
ELECTRICAL PERMIT APPLICATION
• All information after bold categories most 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 vou want this processed through your account DI
DATE-
JOB ADDRESS /tY / 7 S :j. ,41
OWNER - tea)22,„&soAd;__ _2441214
CONTRACTOR___
CHECK E1 ALL APPLICABLE
US E CATEGORY
Mingle Family ODuplex OMulti ['Rental Commercial Olndustrial
SERVICE ['New OTemporary TYPE Overhead DNot Applicable
do Change DNot Applicable DUndergronnd
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
• Volts / 2 / 1 Re cep t ac l es # _ Circuits # - -----
Phase /
Amps /0 0 Switches # #___
CHECK IN ALL APPLICABLE
ORange ElDishwasher ElGarbage Disposal DDryer []Water Heater
OFan OR Blower OFurnace ilA/C *Electric Sign
• °Motors OGas Pumps 0 Other
DESCRIPTION OF ALL WORK BEING DONE
_ • -
-- W
t 77.
VALUE (Including labor and all materials including light fixtures) $ L to2 0 0 • °
MASTER ELECTRICIAN
3/02