HomeMy WebLinkAbout0152472 - Electric (chg service) CITY OF OSHKOSH No 152472
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1126 OTTER AVE Owner GREGORY L NOWICKI JR
_ Create Date 09/18/2012_
Contractor JP ELECTRIC LLC — Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New
• Change 9 0 Temp 0 N/A Type • Overhead _ 0 Underground
Volts 120/240 Circuits
Luminaires
Amps 100 Switches
— Receptacles
Appliances
Use/Nature of SFR1 Change service
Work
Fees: Valuation _0.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: - Date 09/18/2012
Permit Voided 1 Parcel Id# 0205000000
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 secu any necess2rny vals before starting such activity.
Signature Date
� Agent/Owner
Address 161S�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
OOH
ELECTRICAL PERMIT APPLICATION ON rHF WATFR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor participatin. in the Permit Fee Account S stem and have adesuate unds check here
if you want this processed through your account ❑
DATE 9' Z.
JOB ADDRESS 1/ 0 tfe-c.
OWNER
CONTRACTOR d• n
CHECK Q ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE DNew OTemporary TYPE ,7Overhead
?Change DNot Applicable ONot Applicable
['Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2 v / 2-41° Receptacles#
Phase 1 p5. Circuits#
Amps c -e) Switches#
Fixtures#
CHECK Q ALL APPLICABLE
ORange ❑Dishwasher DGarbage Disposal ❑D er
DFan OR Blower DFurnace DA/C n' ❑Water Heater
OMotors ❑Gas Pumps ❑Other Electric Sign
DESCRIPTION OF ALL WORK BEING DONE se-r\r t e
VALUE (Including labor and all aterials i din/ht fixtures)$ '
MASTER ELECTRICIAN 1
3/02