HomeMy WebLinkAbout0151586 - Electric (install 200 amp) 0 CITY OF OSHKOSH No 151586
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Owner CHARLES M ANDERSON Create Date 08/08/2012
Job Address 3610 ANDERSON ST — --- — — — —
Category 634-Residential-Service Change Plan
Contractor T RUCK ELECTRIC INC g rY --- ---
Inspector Adam Krause —_ _ ---_-- __
- -- ------
Service 10 New • Change 0 Temp N/A J Type • Overhead 0 Underground _--
Volts 120/240
Circuits Luminaires
Switches Receptacles
Amps 200 -----
Appliances I —— ----- — — --
Use/Nature of !SFR\Install 200 amp overhead service
Work
i I
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $77.00
Date 08/08/2012
Issued By: Permit Voided Parcel Id# 1252320000
In the performance of thi work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshk h has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pefmif,ap ication within an easement,the City s rong rges the permit applicant to contact the easement
holder(s)and yecuie, ' ee vvIK before starting ch� y.
Signature / -1/4' _
Date
(
Ag e Owner
Address 690 W 3RD AVE
OSHKOSH WI 54902 -5880 Telephone Number —--_
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
Oshkosh,WI WI 54903-1130
(1411111)
Phone(920)236-5050
Fax (920)236-5084 OJHKOf H
ON THE WATER 1
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\LJ r 1 2
JOB ADDRESS ; 3c /0 "it 1( (L ao,)
OWNER S 4 ` ( 2 ..S()' J
CONTRACTOR L C - t ( -c ?cL�
CHECK ®ALL APPLICABLE
USE ATEGORY
Ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑1w ❑Temporary TYPE iCa'Overhead ❑Not Applicable
Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts a() / `�'{U Receptacles# Circuits#
Phase /
Amps f` () Switches# Fixtures#
CHECK E3 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE / ? 'may xJ
Ji!
VALUE(Including labor and all m>it 'a including light fixture3 � )D
MASTER ELECTRICIA /1/1‘
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3/02