HomeMy WebLinkAbout0154208 - Electric (repair meter socket) 0 CITY OF OSHKOSH No 154208
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1120 S WESTHAVEN DR Owner LEE R/LINDA S BAERWALD Create Date 01/18/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp O N/A Type 0 Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/REPAIR METER SOCKET, INSTALL GROUNDS AND MISC VIOLATIONS **debit acct
Work
Fees: Valuation _ $375.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: L Date 01/18/2013
El Permit Voided] Parcel Id# 1312200000
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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number (920)722-2642
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.
N-17-2013 10:26A FROM:DRUCKS PLUMBING C920)722-0651 TO:2365084 P.1
• 1 • .y
City of Oshkosh
Division of inspection Services
P:O,Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
ON M, ATR
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
lfyou are a contractor participalin.e in the Permit Fe Account System and have ads uat funds. check here
if you want this processed through your account
r � DATE i 1(t 1 3
`
JOB ADDRESS Ii i) 6• V�'t'L�� � 12-z
OWNER Ltn /Lii G WS
CONTRACTOR it—OCJ -5 M c4 64-7-E- i f-L--
CHECK Ei ALL APPLICABLE
E CATEGORY
Single Family ODuplex ❑Multi-Family ORental OCornmercial Olndustrial
SERVICE gew OTemporary TYPE ❑Overhead ONot Applicable
hange ONot Applicable PiUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts D 2 Receptacles# Circuits#
Phase
Amps !CO 41ril c, Switches# Fixtures#.
CHECK®ALL APPLICABLE
ORange ❑Dishwasher °Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OfI ALL WORK BEING DONE
IL')A-in_ 0f' MA-).42_ 4otJfl:'(, 11-frr(4- $ZD
6 J ci i4t4L� tb r4�'1D45
VALUE(Including labor and all mate , in• uding . .t , $ 33-7 5
MASTER ELECTRICIAN r
3/02
Received Time Jan. 17. 2013 9: 25AM No. 2110