HomeMy WebLinkAbout0152193 - Electric (chg service) CITY OF OSHKOSH No 152193
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 638 ELMWOOD AVE Owner SHOREWOOD RENTAL LLC Create Date 09/07/2012
Contractor ENTERPRISE ELECTRIC INC Category 634-Residential-Service Change Plan _
Inspector Adam Krause
Service 0 New • Change 0 Temp O N/A Type O Overhead Q Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches _ Receptacles
Appliances
Use/Nature of DUPLEX/CHANGE EXISTING SERVICE TO UNDERGROUND UWO,ALL INTERIOR PANELS TO STAY AS IS **check#3438
Work
Fees: Valuation $1,789.00 Plan Approval $0.00 Permit Fee Paid� aid $77.00
Issued By: vA Date 09/07/2012
❑ Permit Voided I Parcel Id# 0702830000
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 1039 DRIESSEN CT KAUKAUNA WI 54130 - 1105 Telephone Number (920)766-1995
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.
yi
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
/CV
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER I -I
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 9/;if(02
JOB ADDRESS 6-3k Et uLiOnri r n i
OWNER i Dn- IUeSlo;#t .
CONTRACTOR En-�t'r f f,F;c. E\ec4 .„ t c S E P 0 7 2 012
f DE1, ?Z"iVltij..T OF
CHECK H ALL APPLICABLE COMM.�NF DEVELOPMENT
INSPECs 10iv :3E16/ILL'S DIVISION
USE CATEGORY
❑Single Family E lDuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
Ca Change ❑•ot Applicable grUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I at`..) I c7/4) Receptacles# Circuits#
Phase
Amps 2.00 Switches# Fixtures#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE C tie i;i i vt `E'f;r ) rl,er ,x,��n; USX
Tit v privv 4,, 04ay ft„
VALUE(Including labor and all materials including light fixtures) $ t j f
MASTER ELECTRICIAN ?t- (a)
3/02