HomeMy WebLinkAbout0154019 - Electric (replace meter socket) C.) CITY OF OSHKOSH No 154019
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2323 JEFFERSON ST Owner KOMOROWSKI PROPERTIES LLC Create Date 12/2.1/2012
Contractor SCHAFER ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New • Change O Temp 0 N/A
Type Overhead 0 Underground
Volts 120/240
Circuits
Amps 100 Luminaires •
Switches Receptacles
Appliances — — —
•
•
Use/Nature of [SFR/REPLACE METER SOCKET,OH RISER AND GROUNDING-EXISTING SQ D 100 AMP PANEL **check#14422
Work
Fees: Valu tion $650.00 Plan Approval $0.00
-- - Permit Fee Paid $39.00
Issued By:
Date 12/21/2012
❑ Permit Voidec Parcel Id# 1517040000
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 6364 COUNTY ROAD NEENAH WI 54956 -9717
Telephone Number ' (920)725-2031
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 54903-11.30
Phone(920)236-5050 /�
Fax (920)236-5084 OIHKOJH
ON THE 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 permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed throufh your account ❑
DATE ✓/ -�-o
JOB ADDRESS a Sol 3 /1;4/A4V/hi
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OWNER -
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CONTRACTOR jdt ?te t, -
CHECK E1 ALL APPLICABLE
U CATEGORY
Ingle Family ODuplex ❑Multi-Family [Mental p
Y Commercial ®Industnal
SERVICE O ew OTemporary TYPE�erhead ONot Applicable
Change ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Zo I a.Vo Receptacles# Circuits#
Phase /
Amps Co " /0 o Switches# Fixtures#
CHECK H ALL APPLICABLE
°Range - ®Dishwasher ®Garbage Disposal DDryer ®Water Heater
OFan OR Blower ®Furnace DA/C ®Electric Sign
°Motors DGas Pumps ❑Other
DESCRIPTI N OF ALL WORK BEING DONE A . .�f .., _ .._ _ Iv• !-f • _
.orne.1 AV.4•17 _Jo Avy 0.4Peertil
VALUE(Including labor and all materials including light futures)$ 6Sij• 0-v ri`?9.01)
MASTER ELECTRICIAN
3/02