HomeMy WebLinkAbout0153772 - Electric (svc chg) CITY OF OSHKOSH No 153772
IC)OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 143 W 22ND AVE Owner KATHLEEN A BINDER Create Date 08/20/2012
Contractor FAITH TECHNOLOGIES, INC. Category 634-Residential-Service Change - Plan
Inspector Adam Krause _
Service rew • Change 0 Temp O N/A I Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires -
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/City rehab/Service change with new panel. **debit acct
Work
it
Fees: Value ion $850.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: Likj Date 11/29/2012
❑ Permit Voided Parcel Id# 1402530000
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 PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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)236-5084 S
*N )4F WA •
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit ee Account System and have adequate funds. check here
if you want this processed through your account
�J�� DATE �t ' 2%�'
JOB ADDRESS t Lt.), ZZ e-, .074A-14,04A-1 Lc 54q O
OWNER 1 . '1L.0 },LA. QA,--
CONTRACTOR .T" i Te.C, .i`LC t�� � (42,0- �' jC w7/r 1y'1` £ a�1 , !
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CHECK D ALL APPLICABLE t„
U�SQATEGORY
l8'Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑N Lange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER ,,��
Volts / Receptacles#, Circuits#, oG
Phase
Amps /C) Switches# Fixtures#
CHECK ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
p Art/� � I`.t,1.t c Q i l'1 - �G,t .1y°U
❑Motors ❑Gas Pumps tether
DESCRIPTION OF ALL WORK BEING DONE
P44,1/CC.* t - gA. �.2.sz 0,6rwci'bc4 di-= ! 1,3 6;1-0,(41.411, Aviv,—
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0 y t' t'ev h° LA (2/71,1-w c,°fit t C
VALUE(Including labor and all m`aterials including light fixtures)$ 4�
MASTER ELECTRICIAN 1°"i i �.1.G ' f N .r
1 [ Jam.
3/02