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HomeMy WebLinkAbout0153718 - Svc Chg (11/27/12) • CITY OF OSHKOSH No 153718 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 806 HENNESSY ST Owner MR/MRS MARK P VONDERLOH Create Date 11/27/2012 Contractor HEBBE ELECTRIC INC Category 634-Residential-Service Change Plan Inspector Adam Krause Service • New • Change 0 Temp 0 N/A Type 0 Overhead • Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of 'SFR/service change Work Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00 Issued By: �� _ Date 11/27/2012 El Permit Voided Parcel Id# 0617240000 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 nec ssary approval before starting such activity. Signature �� `� Date Agent/Owner Address W3798 OLD GREEN LAKE RD PRINCETON WI 54968 -8755 Telephone Number 920-294-3016 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 Division Divivi si o I on of Inspection Services \` P.O.Box 1130 (416:1— Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 OJHKOJH 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 ❑ ��?? DATE /7 71/ JOB ADDRESS 566 �///�S /j OWNER it C� �O•z dre—l© CONTRACTOR I4L1, 2 CHECK El ALL APPLICABLE USE CATEGORY T ngle Family ODuplex ❑Multi-Family :Mental DCommercial ❑Industrial SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable 2hange ❑Not Applicable ' EJnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts ' Y Receptacles# Circuits# —� Phase Amps cp nQ Switches# Fixtures# CHECK®ALL APPLICABLE D Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater DFan OR Blower DFurnace DA/C DElectric Sign D Motors DGas Pumps DOther DESCRIPTION OF ALL WORK BEING DONE VALUE(Including labor and all materials including light fixtures) $ MASTER ELECTRICIAN 3/02