HomeMy WebLinkAbout0151750 - Electric (upgrade svc) 0 CITY OF OSHKOSH No 151750
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 407 N LARK ST Owner BRIAN R BOTTERMAN Create Date 08/16/2012
Contractor ACTION ELECTRIC Category 634-Residential-Service Change Plan
Inspector Tom Spierowski
Service O New 0 Change O Temp 0 N/A Type 0 Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of SFR\Upgrade service to 200 amp
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 08/16/2012
r] Permit Voided Parcel Id# 1609630000
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 app/' ' n withi easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure y c 5 approvals before starting such activity.
Signature Date
Agent/Owner
Address 3061 W ELBERG AVE APPLETON WI 54914 -5734 Telephone Number (920)734-4020
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 OJHKO.IH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE 6
JOB ADDRESS I 1 /( Lek- S'-
OWNER -b,r )4trrvlik
CONTRACTOR 4 441. " / c-d�r'� C
CHECK El ALL APPLICABLE
USE CATEGORY
Dingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
,SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
aChange DNot Applicable ItiUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1,)1) / dLiC) Receptacles# Circuits#
Phase
Amps do Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange DDishwasher DGarbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other 9
DESCRIPTION OF ALL WORK BEING DONE rA N� C!?r�rf C /J��l/td-C
VALUE (Including labor and all materials including light fixtures)$ �,aDO
MASTER ELECTRICIAN , `
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