HomeMy WebLinkAbout0151807 - Electric (change panel) CITY OF OSHKOSH No 151807
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 321 WAUGOO AVE Owner POLLY M PARAFINIUK Create Date 08/20/2012
Contractor NETT ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service O New • Change O Temp O N/A Type O Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/CHANGE PANEL FROM 100 PUSH 0 MATIC TO 100 HOME LINE **check#8972
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 08/20/2012
0 Permit Voided Parcel Id# 0200370000
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 y neces// app(royal fore starting such activity.
Signature c A" Date
Agent/Owner
Address N2264 REEK ROAD WEYAUWEGA WI 54983 -9364 Telephone Number (920)867-3415
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
ELECTRICAL PERMIT APPLICATION ON THE AT.R
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 Ins
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or 00 00 plus the
normal permit fee,which ever is greater.
OR
o •r a • rac or ..r / •, .ri • 'n t • rmit a c•u
Pfvou want tht.proc•ased rrouQh y ur account ❑ S t m an• hove ad •uate un•s the k her
JOB ADDRESS :1 I DATE
OWNER
CONTRACTOR A)t �.,_..,t ( Lti C1 G
CHECK®ALL APPLICABLE
USE CATEGORY
"Single Family °Duplex °Multi-Family ❑Rental ❑Commercial °Industrial
SERVICE ONew OTemporary TYPE °Overhead
SIChange ONot Applicable ONot Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts t)O / . � Receptacles#__________
Phase Circuits#
Amps l Switches#
Fixtures#
CHECK Fa ALL APPLICABLE
ORange ODishwasher ❑Garbage Disposal
OFan OR Blower °Furnace OA/C OElec r OWater Heater
❑ lec
❑Motors OGas Pumps °Other tric Sign
DESCRIPTION OF ALL WORK BEING DONE 1 Au
VALUE(Including labor and all maters Is including light fixtures)$ 5o 0°��
MASTER ELECTRICIAN A,)
,/4ks 9
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