HomeMy WebLinkAbout0151619 - Electric (overhead service change) 0 CITY OF OSHKOSH No 151619
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 8 EVELINE ST Owner TIMOTHY/TERESA BASILIERE MADAUS Create Date 08/09/2012
Contractor SPECIALTY ELECTRIC&DATA Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New • Change O Temp O N/A I Type • Overhead 0 Underground
Volts 120/240 Circuits 20 Luminaires
Amps 200 Switches Receptacles
Appliances
UselNature of SFR/OVERHEAD SERVICE CHANGE **check#1597
Work
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 08/09/2012
Permit Voided Parcel Id# 0803870000
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 W8228 PLEASANT VIEW LN WAUTOMA WI 54982 -5310 Telephone Number (920)765-2548
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 iT `
Fax (920)236-5084 j J���IL■
ELECTRICAL PERMIT APPLICATION
All information after bold attgories 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 pennit(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 participa _in the Permit etAccouni System and have adequate funds. check here
if you want this processed through your account DI
DATE r' ��" �f
JOB ADDRESS U E v ; ;Ale, 5
OWNER T H Q R eso- , ct s i 1 i"e ( yitV pc `a✓tl e, 4-e)
CONTRACTOR -0.X.`C v)J .\c.. ,.:c : L -t ``•� :c s
CHECK®ALL APPLICABLE
USPCATEGORY
®'Single Family ODuplex °Multi Family °Rental L. DCommercial °Industrial
TYPE BDverhead °Not Applicable
SERVICE �ot Applicable OUndergramd
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER /�
Volts 11 G / G Receptacles# Circuits# 0,G
Phase `),I1 j j e
Amps , 0 C Switches# Fixtures#
CHECK®ALL APPLICABLE
ORange °Dishwasher °Garbage Disposal °Dryer °Water Heater
OFan OR Blower °Furnace OA/C °Electric Sign
°Motors OGas Pumps °Other /� f )
DESCRIPTION OF ALL WORK BEING DONE C) L/ C Pea
e.a
VALUE(Including labor and all materials including light fixtures)S j! • CO
MASTER ELECTRICIAN v.: �\ . .-.� S,. �^ c• t
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