HomeMy WebLinkAbout0156792-Electric (service change) � CITY OF OSHKOSH No 156792
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 1834 CRANE ST Owner BRAD A SCHULTZ/JENNIFER A SEDLACHE Create Date 07/19/2013
Contractor GILSON ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service �New � Change � Temp � N/A Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Apptiances , — ------ ---
i
I
I
I
Use/Nature of FR/CHANGE SERVICE CABLE TO PVC CONDUIT,UPDATE GROUNDING "check#5041 I
Work j
�
i
Fees: Valuation $350.00 Plan Approval $0.00 Permit Fee Paid $30.00
-------
Issued By�'�, Date 07/19/2013
� Permit Voided I Parcel Id# 1217350000
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 sec}ug any ne s a a provals before starting such activity.
Signature � �J'���� Date ��T —�,�
AgenUOwner
Address 410 S 3RDAVE WINNECONNE WI 54986 -9341 Telephone Number (920)279-9896
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.IHK01H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account Svstem and have adeguate fisnds, check here
if vou want this processed throu�vour account ❑
DATE�� �% `��
JOB ADDRESS /�'" � ����� S�
OWNER �r� ���f�
CONTRACTOR �/�l SC��'i- �12G7�iC,
CHECK H ALL APPLICABLE
U�E CATEGORY
C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑��w ❑Temporary TYPE 0'Overhead ❑Not Applicable
tla'Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � �� Receptacles# Circuits#
Phase
Amps �� Switches# Fixtures# '
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF LL WORK BEING DONE �- � ��
� � �
���
�
VALUE(Including labor and att materials includi�light fixtures)$ ��
MASTER ELECTRICIAN �`�����'���1�
3/02
���-ll :