HomeMy WebLinkAbout0104132 EOSHKOSH
ON THE WATER
.lob Address 2006 N MAIN ST
Contractor LARK ELECTRIC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES HALL/DOREEN SAMIDA
Category 634- Residential-Service Change
Amps 100
Change ~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104132
Create Date 09/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change service.
Work
Fees: Valuation
Issued By:
$1,145.00 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.
Divisiofi of Impcction Sconces
P,O. Box 1
Oahkosh, V¥'154903-1130
Phonc (920) 236-5050
Fax (920) 236-5084
· Apples) a~d fee(s) can b~ brought to City Hall, Room 205 or mailed to Inspcctitm Service~ po Box 1128,
Oshkosh WI 54903-t 128. Commencing work without permit(s) will result ia f~s b~ing doubled or $I00.00 plus the
normal l~awit fee, which ever is greater.
OR
If YOU are a contractor oartictoatin~ in the Permit Fee dc¢o~n,r SFstem and have adeeuate funds, at~¢¢k
if you want this processed throu~It your acconnt
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......
us~ cn'ci:c'o~tv
I~Single Family 13Duplex EllVluHi-Family
SERVICE ONew ETI'empormy
~Gbange 13Not Applicablc
TYPE ~)ve~head [~]Not Applicable
r~Undea~round
FILL ]~ TIlE APPROPRIATE BLANK W[fa 'i'lig ~
Volts t z a l ~ '.t o Receptacles#
Phsse I .....
Amps /o,o Switches #
Circuits #
lrLxmres #
ALL APPLICABLE
[3Range EIDishwasher ElGarbage Disposal
EIFan OR Blower []Furnace 13A/C
ElMotors EIGas Pumps t3Other
E]Elecu'ic Sign
13Water Heater
DESCRIPTION OF ALI. WORK BEING DOLCE