HomeMy WebLinkAbout0146618-Electric (service change) (1)1 CITY OF OSHKOSH No 146618
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1018 W NEW YORK AVE Owner FRANCIS M KOERWITZ Create Date 08/16/2010
Contractor LUXURY ELECTRIC LLC 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 2 Luminaires 2
Amps 200 Switches 2 Receptacles 1
Appliances
Use /Nature of SFR/ Upgrade service from 100 to 200 amps & wire detached garage
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 06/30/2011
Permit Voided Parcel Id # 1203940000
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 necess ry approvals before starting such activity.
Signature � Date b 40 /l(
Agent/Owner
Address 6071 SPRINGBROOK RD OMRO WI 54963 - 8227 Telephone Number (920) 685 -6270
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 OJHKOJH
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 ❑ /3o/c
DATE
JOB ADDRESS 1 O f e Yock
OWNER Fir4, 'oe/G -r-
CONTRACTOR LL-Y �,f ecfec'1 r.'`
CHECK B( ALL APPLICABLE
USE CATEGORY
gl ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ,E33Overhead ❑Not Applicable
JlitChange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 2.kt a / 12- Receptacles # t Circuits # a
Phase
Amps 10o Switches # Fixtures #
CHECK 611 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
geVr9 r Et V,4' t CC2 e1 v nQ I s rev
VALUE (Including labor and all materials including light fixtures) $ acVO 07 /e ` 39 / J
� J.
MASTER ELECTRICIAN aA Pte,
3/02