HomeMy WebLinkAbout0153527 - Electric (replace panel with Square D) 0 CITY OF OSHKOSH No 153527
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1114 EASTMAN ST Owner THOMAS G PUTZER
Create Date 11/13/2012
Contractor T RUCK ELECTRIC INC - _
--_ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service p New ❑ 9 — — _ -
Chan e 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches
Receptacles
Appliances -- —
Use/Nature of DUPLEX/REPLACE 100 AMP PUSHMATIC PANEL WITH SQUARED **check#8335
Work ——
Fees: Valuation $400.00 Plan Approval $0.00
an7ki Permit Fee Paid $25.00
Issued By: ---
Date 11/13/2012
❑ Permit Voided I Parcel Id# 1003240000
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 690 W 3RD AVE _ _ OSHKOSH WI 54902 -5880 Telephone Number
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 1 130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920) 236-50 84
ELECTRICAL PERMIT APPLICATION `'h' AT
Ex
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 1125,
Oshkosh WI 5490-1128. 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�. lrere a contractor DarticiDatin in the Permit Fee Account System and have adequate Binds, checA herr
if you want this processed throu h our account
DATE i` Cl-v 173 1 1 C...
JOB ADDRESS_ — .* 141. I .
OWNER.--- t�� 1 s
—
CONTRACTt - � _. ?
. - _,grit ( J")[._
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family
"er Duplex ['Multi-Family Rental
['Commercial ['Industrial
SERVICE ONew 0Temporary
TYPE ❑Overhead CJNot Applicable
❑Change DNot Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase Circuits #
Amps
Switches# Fixtures #
CHECK Ef ALL APPLICABLE
['Ranee ['Dishwasher ❑Garbage Disposal
❑Fan OR Blower [Furnace ['Electric ['Water Heater
❑1��otors CII��L ['Electric Sign
C�Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
•
VALUE (Including labor and allmat_ a including light fix . $
MASTER ELECTRICIAN , �