HomeMy WebLinkAbout0153354 - Electric (replacement of svc) (9 CITY OF OSHKOSH No 153354
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1639 IOWA ST _ Owner ROBERTNICTORIA L FAUST Create Date 11/05/2012
Contractor MY ELECTRIC CORP Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New an e
� Ch g Temp 0 N/A i Type • Overhead 0 Underground
Volts 120/240 Circuits
Luminaires _
Amps 200 Switches
Receptacles
Appliances — -
Use/Nature of SFR/REPLACEMENT OF SERVICE DUE TO HAIL DAMAGE TO SIDING **check#18859 --,
Work
Fees: Valuatio $1,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
CC ��4 $60.00
Date 11/05/2012
r] Permit Voided I Parcel Id# 0908430000
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 applicatio,-_ • . an easement,the City strongly urges the permit applicant to contact the easement
holder(s)andecare any necessa pi•ovals before sta ing such activity. -- —-�
Signature
—_..._._ Date //---S--2 c-Ir2..___
Agent/Owner
Address 6012 KOELPIN RD OSHKOSH WI 54902 -9117 Telephone Number (920)231-0707
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
(41116.—)Pr
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKOJH
ONI THE I \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 11/5/2012
JOB ADDRESS 1639 Iowa St.
OWNER Robert Faust
CONTRACTORMY Electric Corp.
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family I (Duplex UMulti-Family 'Rental I Commercial fIndustrial
SERVICE ['New ['Temporary TYPE ®Overhead [Not Applicable
Change [Not Applicable [Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles# Circuits#
Phase 1
Amps 200 Switches# Fixtures#
CHECK FA ALL APPLICABLE
['Range ['Dishwasher ❑Garbage Disposal ❑Dryer [1 Water Heater
['Fan OR Blower ['Furnace fA/C (Electric Sign
flMotors I Gas Pumps (Other
DESCRIPTION OF ALL WORK BEING DONE
Replacement of service due to hail damage to siding.
VALUE(Including labor and all materials including light fixtures)$1000.00
MASTER ELECTRICIAN
3/02