HomeMy WebLinkAbout0156609-Electric (service change) � CITY OF OSHKOSH No �sssos
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1936 DELAWARE ST Owner STEVEN L HEMMINGHAUS Create Date 07/09/2013
Contractor DREXLER ELECTRIC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances !
,
:
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Use/Nature of � FR(RENTAL)/SERVICE UP-GRADE FROM 60 TO 100AMP "check#6082 ,
Work � ,
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Fees: Valuation $1,075.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: � Date 07/09/2013
� Permit Voided I Parcel Id# 1408990000
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 490 COUNTY ROAD FF PICKETT WI 54964 -9513 Telephone Number (920)589-6700
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O HKO H
ON THE WATFR
ELECTRtCAL PERMIT APPLlCATION � µ
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 narticinatinQ in the Permit Fee Account Svstem and have adequate funds check here
if vou want this processed through your account ❑
DATE �—S(,�j
JOB ADDRESS ` `3� ��Gl�p-1t� ��
O W NER 5('�(/� f-/E vrt G�4 t�6 }{�}�I,5
CONTRACTOR 1�2EXC �2 E��C72�L
CHECK E( ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex OMulti-Family �Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable �
�Change ❑Not Applicable �Underground E
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
�
Volts�� /�`�v Receptacles# Circuits#
Phase .�
Amps i0O Switches# Fixtures # `
CHECK �ALL APPLICABLE
�Range ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ;
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �c�/i ce lJn�-�2�/J� � c� � /u0,¢,+�
VALUE (Including labor and all materials including light fixtures) $ �07S�d�
MASTER ELECTRICIAN , �' /'
3/02