HomeMy WebLinkAbout0155435-Electric (service change) � CITY OF OSHKOSH No 155435
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 924 E NEW YORK AVE Owner ROBERT H/LOIS K DUMDIE Create Date 05/06/2013
Contractor HULLAR ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches _ Receptacles
Appliances
- I
Use/Nature of SFR/service change
Work �
�
�
Fees: Valuation $1,275.00 Plan Approval $0.00 PermitFee Paid $87.00
Issued By: ��.`� - Date 05/06/2013
❑ Permit Voided I Parcel Id# 1509980000
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 secur cess approvals before starting such activity.
Signature Date �— �� �
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Tetephone Number (920)233-3667
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 Oslikosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKO.lH
ON THF WATFR �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate fz�nds, check here
if vou want this processed throu�h vour account ❑
DATE �—�o—/ �
� / � � �—
JOB ADDRESS qZ y 12 /Vz,.� �
OWNER Lv ,� 1� � ,�.,�,�
CONTRACTOR ��/i ����L�-�C
CHECK L�1 ALL APPLICABLE
USE ATEGORY
mgle Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial
ERVI E ❑N ❑Tem ra TYPE 00verhead ❑Not A licable
S C po ry pp
hange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase �
Amps / O� � Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE S-f�f'�i << C G.�� �, �
VALUE(Including labor and alt materials including light f}xtures)$ �Z 7�. U,7
MASTER ELECTRICIAN
3/02