HomeMy WebLinkAbout0151959 - Electric (svc change) 0 CITY OF OSHKOSH No 151959
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 912 E LINCOLN AVE Owner VICKI L COOK Create Date 08/27/2012
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service O New • Change O Temp 0 N/A Type O Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/SERVICE CHANGE **check#2547 II
Work
Fees: Valuati $85 00 Plan Approval $0.00 Permit Fee Paid $53.00
Date 08/27/2012
Issued By:
❑ Permit Voided Parcel Id# 1105710000
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 -`- ure any neces aryl;p• ovals before starting such activity.
1 c / Date P' ?"/ Z
Signature ■ �� /f/
Agent/Owner
Address 5 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-2411
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 Of OJH
ON THE WATFR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
,t / DATE g - 2-7 -1 2
JOB ADDRESS ��� i- C.�l /✓C p t /l.
OWNER 1
CONTRACTOR P . /e @jrt c._. 1 I
CHECK El ALL APPLICABLE
U E CATEGORY
Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
'Change ❑Not Applicable 'aJnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 a--U / 1-n° Receptacles# Circuits#
Phase ) 71
Amps Switches# Fixtures#
CHECK ll ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE .Serf./ t 0_,e n' .e
A t121
VALUE(Including labor and all materials inc in i t fixtures)$ (f' i
MASTER ELECTRICIAN
3/02