HomeMy WebLinkAbout0146552-Electric (service change) l CITY OF OSHKOSH No 146552
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 542 W 8TH AVE Owner JEROME A SCHOENBERGER Create Date 06/27/2011
Contractor T RUCK ELECTRIC INC Category 634 - Residential- Service Change Plan
Inspector Adam Krause
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 / REMOVE FUSE PANEL AND INSTALL BREAKERS, RELOCATE METER TO EXTERIOR AND INSTALL RODS * *check #8099
Work
1
Fees: Valuatio�� $1,590.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 06/27/2011
❑ Permit Voided I Parcel Id # 0600810000
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 690 W 3RD AVE OSHKOSH WI 54902 - 5880 Telephone Number (920) 233 -7191
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 I 5
Oshkosh, W 54903 -1 I3U
40
Phone (920) 236 -5050
Fax (926) 236 -5084 11--1—K0,1-H
QN
THF 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 112S,
Oshkosh WI 549)3 -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 vour account ❑
DAI'M_ . r
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JOB AD • SS_ 5 iik.3
OWNER' if v _ p :a.. of
CONTRACTOR Pr G-6 -t (,� 1 /<
CHECK El ALL APPLICABLE
US&XATEGORY
le Family ❑Duplex DMulti Family ❑Rental OCommercial [industrial
SERVICE O N5w °Temporary TYPE EIC head °Not Applicable
PChange ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts f / • Receptacles # Circuits #
Phase f
Amps •• Switches # Fixtures #
CHECK H ALL APPLICABLE
°Range ❑Dishwasher °Garbage Disposal °Dryer °Water Heater
DFan OR Blower °Furnace DAiC DElectric Sign
❑Motors ❑Gas Pumps OOther
OF
DESCRIPTION OF ALL WORK BEING DONE liTik .,V # Ar - i L-
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• !.;- //r. 1A l .r i
VALUE (Including labor and a a er' . Is including light es) $ / S
MASTER ELECTRICIAN
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