HomeMy WebLinkAbout2013-Electric (svc chg) (9 CITY OF OSHKOSH No 154616
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 727 W 4TH AVE Owner RICHARD A SCHREIBER Create Date 03/05/2013
Contractor MY ELECTRIC CORP Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A I Type 0 Overhead O Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR1 Service change and mist wiring
Work
t i
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: _.774 Date 03/05/2013
❑ Permit Voided Parcel Id# 0602820000
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 easejit,the City strongly the- plicant to contact the easement
holder(s)and to secur�fly tiecessary a„p{aro"v�ls-bef6Fe starting such activity.
Signature •" . %—�
li Date 3 Zaj
Agent/Owner
Address 6012 KOELPIN RD -OSHKOSH WI 54902 -9117 Telephone Number (920)231-0707
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of-(Of H
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 ❑
DATE3/5/2013
JOB ADDRESS727 4th Ave.
OWNER Dick Schreiber
CONTRACTORMY Electric Corp.
CHECK H ALL APPLICABLE
USE CATEGORY
®Single Family I (Duplex I Multi-Family ❑Rental I Commercial ( Industrial
SERVICE fNew ❑Temporary TYPE ®Overhead ❑Not Applicable
Change [Not Applicable (Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles # Circuits#
Phase
Amps 100 Switches# Fixtures#
CHECK El ALL APPLICABLE
['Range ['Dishwasher nGarbage Disposal CDryer ❑Water Heater
LiFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
(Motors IGas Pumps [Other
DESCRIPTION OF ALL WORK BEING DONE
Service upgrade to 100 ampere. Circuits, lights, rcpts, switches.
VALUE(Including labor and all materials including light fixtures) $2000.00
MASTER ELECTRICIAN
3/02