HomeMy WebLinkAbout0156032-Electric (receptacles) � CITY OF OSHKOSH No 156032
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1321 RAHR AVE Owner JARED R REICHENBERGER Create Date 06/06/2013
Contractor T RUCK ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Tom Spierowski
Service New � Change � Temp 0 N/A ' Type � Overhead _ � Underground I
,
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles 2
Appliances
Use/Nature of FR\REplace MCB recepts for sump pump and radon fan
Work �
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: �1�� Date O6/O6/2013
❑ Permit Voided i Parcel Id# 0206930000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se re an ecessary app als before starting such activity.
Signature ` Date �6-�`�/ 3
Agent/Owner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
To schedule inspections please call the inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
...._ ... .... ����
City of Oshkosh
Division of Tnspection:;ervices
P.O.$ox 1130 � �
Os}ikosh,t�'I�49U?-1130 �
Phone(9�0)236-5040
Fax (92C�123G-50�4
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ELECTRICAL PERMIT APPLiCATION On� rµF wq7E„ -'—'
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, PU Bas � i��,
Oshkosh WI 549J3-1128. Comrnencing work without germit(s) wili result in fees being doubled or$I OO.OU pius ti�e
norma; permit fee, which ever is greater.
OR
�f vou are a contractor particioating in the Permrt Fee Accounr S �stem and have ade uate i,nds che;,'; i:zr;�
rf iou want thrs rocessed throu Ir �nur account [] � - :
' UAT'E ,��' �_3
JOB AllllRESS_ � .y�
U�i'NER
CUNTRACTOR
, '
l. •
CHECK H A�,L APPLICABLE
U E CATEGORY
�ingle Family ❑Duplex ❑1�lulti-Famil�� C]Rental
- �Commercial Cllndustrial
SERVICE ❑New ❑T'em�orary T'�'PE J�Jverhead ❑Not Applicabie
ClChange ❑Not Appticable DUnderground
FILL IN THE APpROPRIATE BLA.IVK�rITH T'HE NUhiBEK
Volts J ��3 Receptacles #____
Phase --�-- Circuits#
Amps S�vitches #
Fixtures #
CHECK Ef ALI,APPLICABLE
ORange ❑Dishwasher OGarbage Disposal C�Dryer CJWater Heate;
❑Fan OR Blower OFurnace ❑t���. ❑Electric Sign
❑Motors pGas Pumps ❑Other
DESCRIYTION OF AI,L WU1tK BEING llUNE
� }-a, �
�'ALC!E (Including Iabor and a�l eriats including fight r $ S�� -
i�IASTER ELECTRICIA �