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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 :