HomeMy WebLinkAbout0146785-Electric (service change) l CITY OF OSHKOSH No 146785
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 224 KNAPP ST Owner THOMAS L WAGNER Create Date 07/12/2011
Contractor KAUFMANN 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 200 Switches Receptacles
Appliances Range, Fan or Blower, Dishwasher, Furnace, Dryer, Water Heater
Use /Nature of SFR / SERVICE CHANGE FROM 100AMP TO 200 AMP
Work
Fees: Valuations $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: a 1 ns•-• Date 07/12/2011
❑ Permit Voided Parcel Id # 0603100300
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 2653 INDIAN POINT RD OSHKOSH WI 54901 - 9609 Telephone Number (920) 232 -0609
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
ON TH W
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 ❑
j �/ DATE 7 - 1/ O/ /`
JOB ADDRESS (2��/ K pp 9
OWNER T ? Y W / Alt ,t
CONTRACTOR �`C fi ,iii ...7 /wit- it
CHECK 0 ALL APPLICABLE
SE CATEGORY
Ingle Family ❑Duplex ❑Multi - Family ❑Rental OCommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ikri4verhead ❑Not Applicable
SliChange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2(2 / 24 Receptacles # Circuits #
Phase S') 9t .
Amps 772A -t j Switches # Fixtures #
CHECK 0 ALL APPLICABLE
,Mange dishwasher ❑Garbage Disposal Atryer Water Heater
Alt an OR Blower ,'urnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONEtce/Z1!1 / 0 A aA re /'22
VALUE (Including labor and all materials including light fixtures) $ f MO. 69
MASTER ELECTRICIAN ( 11L K4
3/02