HomeMy WebLinkAbout0146757-Electric (service change) CITY OF OSHKOSH No 146757
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 106 N MEADOW ST Owner KONNIE L BROWN Create Date 07/11/2011
Contractor ZARDA 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 Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / CHAGNE OUT OLD SERVICE PANEL AND INSTALL NEW PANEL **check #1667
Work
Fees: Valuation $575.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: 3y1y- Date 07/11/2011
El Permit Voided Parcel Id # 0609160000
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 C'ty strongly urges the permit applicant to contact the easement
holder(s) and to secure n appro s befor> arting such activity.
Signature ! Date __ZA4/
Agent/Owner
Address 2000 OAKRIDGE RD NEENAH WI 54956 - 2122 Telephone Number (920) 475 -0344
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
4111)
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOf 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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
�y DATE 7 f/ �.
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JOB ADDRESS /D6 / Y
OWNER 1(0/9/7/" 14ZtL) 7
CONTRACTOR �/() , �clj C LZ(
CHECK e1 ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE 1bverhead ❑Not Applicable
Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2cf / 2 VO Receptacles # Circuits #
Phase
Amps l2o Switches # Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
OF= OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE - f 1,
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ' �� /
3/02