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Home My WebLink About0156651-Electric (disconnect for a/c) /�'� CITY OF OSHKOSH wo 156651 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1104 N MAIN ST Owner WALTER GEHRKE Create Date 07/12/2013 Contractor SCHEIDECKER ELECTRIC SERVICE Category 612-Residential-Single FamilyAddition/R Plan Inspector Adam Krause Service New � Change � Temp � N/A-�', TYpe � Overhead � Underground ' Volts Circuits Luminaires Amps Switches Receptacles Appliances - i J UselNature of FR/INSTALL A DISCONNECT FOR AN A/C *"check#1023 Work I Fees: Valu n $400.00 Plan Approval $0.00 PermitFee Paid $30.00 Issued By: � 1j" � � Date 07/12/2013 � ❑ Permit Voided I Parcel Id# 1001530000 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 t provals before starting such activity. Signature �` Date � �Z / � ✓ AgenUOwner Address 325 BALDWIN AVE OSHKOSH WI 54901 -3814 Telephone Number (920)279-1392 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 54903-1 1 30 Phone(920)236-5050 01HKO.IH F� (920)236-5084 � ON THE WATER � 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$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here �vou want this processed throu�vour account ❑ nATE 7 � �- � JOB ADDRESS / ` � 7 � �°t'� S� OWNER ��-6''��2%�C /'9-�-�� C CONTRACTOR S C�Gt c• ��C��,��/ ��..e C 7��`.c � : CHECK 0 ALL APPLICABLE S CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ONew ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change ❑Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Figtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher �Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL ORK BEING DONE �F n S C� f U O�. VALUE(Including labor and all m. mc uding light ix es)$ �0�• vv MASTER ELECTRICIAN 3/02 �# i0�3