HomeMy WebLinkAbout0156356-Electric (service change) � CITY OF OSHKOSH No 156356
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1926 OLIVE ST Owner BERTHA M CRAM Create Date 06/20/2013
Contractor ACTION ELECTRIC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service i� New � Change 0 Temp � N/A ; Type � Overhead � Underground �
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
I
Use/Nature of SFR\60 to 100 amp service upgrade
Work
Checks 3434 8�3437
; _
i ,
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: Date O6/24/2013
❑ Permit Voided j Parcel Id# 1216060000
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 3061 W ELBERG AVE APPLETON WI 54914 -5734 Telephone Number (920)734-4020 :
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.
RECEIVEI)
City ofOshkosh JUN 2 0 2013
Division of Inspection Services �
P.O.Box 1130 �
�S}1�COSh,WI 54903-1130 1)EP.ARTb3E\T OF
Phone(920)236-5050 C0�i1tU\ITl'DE�'ELOP�fENT
FaX (920)236-5084 iNSPEC�'iQti SER�'ICES Dt�'ISIOV HK 1 I
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$100.00 plus the '
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adecLuate funds, check here
if vou want this processed throu�your account ❑
DATE C�� l —/�7
JOB ADDRESS � -I � � � � �V C S�'
OWNER l�e r�. Q � ir►A r1
CONTRACTOR �t L`� .0 Y� ��e.c�Y'��- .
CHECK L�f ALL APPLICABLE
USE CATEGORY
�ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE �ead ONot Applicable :
�.liange �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ( � / �y° Receptacles# Circuits#
Phase (
Amps / O� Switches# Fiztures#
CHECK a ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
/ .,
DESCRIPTION OF ALL WORK BEING DONE � 6 �4 �a b S�,✓,/v cr. ���'�,c4�e
,
VALUE(Including labor and all materials includi light fixtures)$ �D d6 c�
MASTER ELECTRICIAN �b �
3/02