HomeMy WebLinkAbout0154475 - Electric (move and replace circuit panel) CITY OF OSHKOSH No 154475
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2355 W 9TH AVE Owner ARCHANGEL CONG ST RAPHAEL THE Create Date 02/18/2013
Contractor BRENNAN, DENNIS Category 634-Residential-Service Change Plan -
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type O Overhead • Underground
Volts 120/240 Circuits 3 Luminaires _ 1
Amps 100 Switches Receptacles 3
Appliances
Use/Nature of SFR/MOVE AND REPLACE MAIN CIRCUIT PANEL,MOVE BATHROOM LIGHT AND ADD LAUNDRY RECEPTACLE **check
Work 1#2153
Fees: Valuation _ $870.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By:��
C. Date 02/18/2013
El Permit Voided i Parcel Id# 1314350000
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 neces ary approvals before starting such activity. /
Signature ,r, .�. Date Z 11 r l l 3
Agent/Owner
Address 1423 RAINBOW DR OSHKOSH WI_54902 -2648 Telephone Number (920)232-7237
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 1 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfH<O.fH
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 permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor_participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE Z! 1 Y(/3
JOB ADDRESS 2 3 S
OWNER �2
CONTRACTOR (=N O�t 5 II it i=tv N VT'
CHECK 0 ALL APPLICABLE
USE CATEGORY
®Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
Change ❑Not Applicable IZIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts j Lv / Z 5(O Receptacles# 3 Circuits# 3
Phase
Amps t 00 Switches# Fixtures# I
CHECK EI ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 14 d V r1 4 t2 f L+`t c I N
C- rrtcuiT P t.i ( Mauu i5Anttaco4 Lit [ A104 LAQ/--49 ,Z'/
nA e L lLy
VALUE (Including labor and all materials including light fixtures)$ a O.
MASTER ELECTRICIAN Z. 9 .�
3/02