HomeMy WebLinkAbout0151702 - Electric (Replacing service) CITY OF OSHKOSH No 151702
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 749 EVANS ST Owner ANDREW J HAESE Create Date 08/14/2012
Contractor NC ELECTRIC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service O New • Change O Temp 0 N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances :Range
Use/Nature of SFR1 Replacing service-All work to meet current code requirements
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: Date 08/14/2012
Permit Voided Parcel Id# 1106390000
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 an,;—, -ssary approvals before starting such activity.
Signature 2107- . _ Date 5;/.1-Z
Agent/Owner
Address PO BOX 155 LARSEN WI 54947 -155 Telephone Number (920)268-7882
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 u�/(� ru
Fax (920)236-5084 OJHKOJ I I
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 5C/7 4/j / =�
JOB ADDRESS 9 9 CA/5 S
OWNER ALA), f .-e 5e
CONTRACTOR 47---/c`Or,'c_
CHECK 0 ALL APPLICABLE
USE CATEGORY
'Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE 150verhead ❑Not Applicable
EiChange [Not Applicable ['Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I %) / Receptacles# Circuits#
Phase I a
Amps /!JU Switches# Fixtures#
CHECK 0 ALL APPLICABLE
lRange ❑Dishwasher ['Garbage Disposal ❑Dryer ['Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 'C'�
VALUE (Including labor and all materials including light fixtures) $ 9C )
MASTER ELECTRICIAN
3/02