HomeMy WebLinkAbout0104131-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 76 SENNHOLZ CT
Contractor LARK ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT/DEBRA BEREGSZAZl
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104131
Create Date 09/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change service.
Work
Fees: Valuation
Issued By:
$1,380.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/11/2003
Permit Voided
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
Agent/Owner
Address 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
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.
°RuT 12 03 03:45p Oshkosh Inspeotions
$20-23G-5084
Div/s/ofi oflmpecfion Sen, ice~
Oshkosh, ~ ~903-1
~ (920) ~050
OR
l[ vou a~e ~ ~ontractor varttcip~ting ia the permif ~ee ~ccou~,~,Sys,tem and have ad~ouare (unds. cheek here
' i~ VOU want this
~ ~ ALL APPLICABLE
USE CATEGORy
]~Y,~ingl¢ Family nDu01ex OMult/-Fami~y
SERVICE CTNew OTetnporary
~han~ ONot Applicable
ORontal OCoramorcial OIndustrial
TYPE~ [~o~ Applicable
FILL IP4 TJlc~ APPROPRIATE BLANK WITH THE NUMB~
Vol~s / ~ o / ~- ~0 Receptacles # ,
Phase ......... [
Amps /o ~ ~i~ O
CI~CK I/I AI.L APPLICABLE
ElWata- Heater
DESCRll~ON OF ALL WORK BEING DONE ,, L~,~.,~ ,4.~'~''
V-4d~UI~ Oneluding labor ami aR mat~als ~ding~ fixtm~)$ /'.~ o0'0/
3/02