HomeMy WebLinkAbout0155112 - Electric (upgrade svc) (g) CITY OF OSHKOSH No 155112
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 666 W 9TH AVE Owner MARK R DOLAN/CRAIG W PETITT Create Date 04/18/2013
Contractor HOMEOWNER Category 610_Residential-New Single Family Servi Plan
Inspector Adam Krause -
Service 0 New • Change 0 Temp 0 N/A J Type 0 Overhead 0 Underground
Volts 120 Circuits Luminaires
Amps 200 Switches Receptacles _
Appliances
Use/Nature of 'SFR/upgrade service to 200 amp. All work to be done according to state and municipal codes.
Work
Fees: Valuation $650.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: '1/4 Date 4/18/2013
H Permit Voided I Parcel Id# 0601280000
The undersigned,in applying for an Electric Permit to perform electrical work within a single family home,owned and occupied
as the principle residence by the undersigned,hereby acknowledges per City Municipal Code Section 11-22,that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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 e re any nets sary approvals before starting such activity.
Signature %/._ f ,. Date L/•
Agen caner
Address aid u(jilt OSHKOSH WI 5490- 6370 Telephone Number
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.
S. t
City oOfnsh
Division si o I
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130 ��
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑ �/ -7
DATE -/11 ',XO/cR
JOB ADDRESS £tt ti idle-
OWNER/74k 1.)04ei,J
CONTRACTOR ply., iG i
CHECK H ALL APPLICABLE
USE:CATEGORY
Single Family ❑Duplex DMulti-Family DRental ❑Commercial ❑Industrial
SERVICE ['New ❑Temporary TYPE DOverhead ❑Not Applicable
('Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Q(?; I Receptacles# Circuits#
Phase
Amps s.60 Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Otheer
DESCRIPTION OF ALL WORK BEING DONE AO tvj Cho CP 70,10 tz i
VALUE(Including labor and all m rials in ding light fixtures)$
MASTER ELECTRICIAN AIL /� r"' /A e 0641/CL-
3/02