HomeMy WebLinkAbout0146823-Electric (service change) (.0
CITY OF OSHKOSH No 146823
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 346 GUENTHER ST Owner JAMES A DEHN Create Date 07/14/2011
Contractor HULLAR ELECTRIC LLC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp O N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR\ 100 amp service change
Work
Fees: Valuation $1,450.00 Plan Approval $0.00 Permit Fee Paid 77.00
Issued By: _--- Date 07/14/2011
El Permit Voided Parcel Id # 0607690000
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 se cessary appro s starting such activity.
Signature Date
Agent/Owner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 233 -3667
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 WI 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKOJH
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 ❑
/ DATE
JOB ADDRESS 3�/L S c.,A` 14r
OWNER IF n !x�
CONTRACTOR g /! k
CHECK FZI ALL APPLICABLE
USESATEGORY
PCS Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE 121 rhead ❑Not Applicable
Ei3Qtlange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2._& / 2'w Receptacles # Circuits #
Phase
Amps t 00 ,,, Switches # Fixtures #
CHECK Qf ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑ Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors El Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE S er, t � � c L � ,, f Oc.)
VALUE (Including labor and all materials includin light fixtures) $ ! Y 5 c
MASTER ELECTRICIAN
3/02
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