HomeMy WebLinkAbout0156318-Electric (service change) R
� CITY OF OSHKOSH No 156318
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1805 ALGOMA BLVD Owner KENNETH J/TAMMY L VERMEERSCH Create Date 06/20/2013
Contractor KAUFMANN ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/� Type � Overhead � Underground j
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacies
Appliances
Use/Nature of SFR\Panel change from fuses to breakers
Work
;
___ I
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: ,�� Date O6/20/2013
❑ Permit Voided I Parcel Id# 1200040000
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 ure an n s prova efore starting such activity. ��
Signature Date
AgenUOwner
Address 2677 INDIAN POINT RD OSHKOSH _WI 54901 -9609 Telephone Number (920)232-0609
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
Fax (920)236-5084 �1HKOlH
ON THE 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$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifvou are a contractor participatin� in the Permit Fee Account Svstem and have adeguate funds, check here
ijvou want this processed throu�h vour account ❑
DATE �— 1 �—I 3
JOB ADDRESS D.S 4/ l�
OWNER S
.
CONTRACTOR !i( E C �(� ���
CHECK Ef ALL APPLICABLE
L�SE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE�verhead ❑Not Applicable
' 'Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /?� / z�/I� Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower �Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE(Including labor and all materials including light fixtures)$ w �����
MASTER ELECTRICIAN �
3/02