HomeMy WebLinkAbout0156061-Electric (panel change) �
� CITY OF OSHKOSH No 156061
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1027 MICHIGAN ST Owner JEFFREY/SANDRA KNUTSON Create Date 06/07/2013
Contrector HOEHNE ELECTRIC Category 644-Commercial-Service Change Plan
Inspector
Service New � Change � Temp � N/A I Type � Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of Panel change
Work
I
i
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: � Date O6/07/2013
❑ Permit Voided�� Parcel Id# 1300410000
In the performance of this worlc 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 sec any n ssa pprovals before starting such activity.
Signatu ,g�� Date
vr AgenUOwner
Address N1798 JUNCTION LN BERLIN WI 54923 -8923 Telephone Number (920)379-8200
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 54903-1 1 30
Phone(920)236-5050
F� (920)236-5084 O.IHKOf H
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 participating in the Permit Fee Account Svstem and have adeguate fi�nds check here
if vou want this nrocessed throu�your account ❑
� DATE
JOB ADDRESS fd�� �I'I � � (� q.11
OWNER �Q e-/C YYJ'�° ��°�
CONTRACTOR `J(��_°f?�I`�- ����
CHECK H ALL APPLICABLE
USE CATEGORY ���/
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE ❑�N�e ❑Temporary TYPE ❑Overhead ❑Not Applicable
�hange �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /� / Receptacles# Circuits#
Phase
Amps 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
� :
VALUE(Including labor and all materials including light 5xtures) $ �i S O�r d�
,
MASTER ELECTRICIA
3/02