HomeMy WebLinkAbout2013-Electric (service change) � CITY OF OSHKOSH No 156332
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1333 WALNUT ST Owner MOST BLESSED SACRAMENT PARISH Create Date 06/21/2013
Contractor HOEHNE ELECTRIC Category 644-Commercial-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
,
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances �
J
Use/Nature of �OMM\Service change
Work
Fees: Valuation $1,500.00 Pian Approval $0.00 Permit Fee Paid $87.00
Issued By: � Date 06/21/2013
� Permit Voided' Parcel Id# 1204660000
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 secure any necessary approvals before starting such activity.
Signature Date
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.
Jun 21 2013 9: 46 HP LRSERJET FRX P, 1
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� ELECTRfCAL PERMtT APPLtCATION
Alt informadoc ahc baltl abe�Orka m�st bo pccnrided,
Inoomplebe applicstiam wfll not be procpsed,
• APPli��s)��(s)can be brought to City Hatl.Room?AS or mailed to I�on Services�PO Box 1128,
OsbkosIi WI 54903-I 128. Commencing work without peimit(s)w�71 rrsalt ia fxs bomg doubled or�100.00 plt�s tbe
normal p�mnit fide�wluch evar ia�er.
OR
lf von are a aantractor atrrltcioafir�� tn tAre Permit F w /�r���(Sl • �nd/rmre ade��q« fwnds ci�sc� hert
!f vou want this�rotsased lkro,�g�poarr cc�oarnl ❑
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JOH ADDRLSS �J� �.t1�C.r1 v� S�
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CRECK�AI.I.APPLICABLE
USE CATLGORY �
❑Single Fa�nily �Dupiex QMalti-Family DRental ��� ���
SERVICE ONew OTamporary TYPE�O�rerhesd L]Not Ap�plicable
Y�lCtian� Ol�ot Applieable OUnderground
FII.L IN THE APPRUPRIATE BLANK WITH?SE�t�JMBEbt � :
Vot#s A�P�� Circufb�
P�ase
AmFs Swritc6ea# g��#
CHECK Qf ALL APPLICABLE
�ga ODisbwas6u ❑c�arbagc Disposat � �Dryer Qwat,er Heater
OFan OR Bluwu OFurnaca DA/�C �Flectric Sagu
❑Motors O�Pumps �Other
DESCRIPITON OF ALL�ORK SEIIYG DONE��1�U� _ �Cl��'
YALUE(IncLadi�g Isbor ind aII incladlsQ li��t Sz a) .�
MASTER ELEC1'RIC1ArI
3/02