HomeMy WebLinkAbout0151356- Electric (replace overhead svc) CITY OF OSHKOSH No 151356
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1214 GRAND ST Owner PAMELA R MILLER Create Date 07/24/2012
Contractor CHARLES ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type O Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of SFR/REPAIR/REPLACE OVERHEAD ELECTRIC SERVICE MAST AND WIRE **check#7387
Work
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: CYO j Date 07/24/2012
❑ Permit Voided Parcel Id# 1507210000
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 935 CAROLINE ST NEENAH WI 54956 -2312 Telephone Number (920)841-4826
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 1 , a
n "F ED
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided. JUL 2 4 2012
Incomplete applications will not be processed.
DEPARTMENT OF
COMMUNITY DEVE p ENT
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to InspectidfY `�Tde1� 16 ISIhON
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 p us 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 ?L I"N 1 /11 k c6 - J &I & ' ,,x,
OWNER PRVI M(
CONTRACTOR S �f�c6- C
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 0-0 / a54) Receptacles# Circuits#
Phase 6
Amps /900 Switches# Fixtures #
CHECK ®ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
DMotors ❑Gas Pumps ❑Otheerr
DESCRIPTION OF ALL WORK BEING DONE /?fft a/6Aaa aire/-1C-'4tl�
X 42-1 C
Segii
VALUE (Including labor and all materials includin l light fixtures) _12_••
MASTER ELECTRICIAN �:A iP •
3/02