HomeMy WebLinkAbout0157449-Electric (service change) � CITY OF OSHKOSH No 157449
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD .
ON THE WATER
Job Address 531 PYLE AVE Owner MARION C ABRAHAM Create Date 08/27/2013
Contractor DRUCKS PLUMBING&HEATING CO INc Category 634-Residential-Service Change Plan
Inspector
Service New � Change � Temp � N/A Type � Overhead 0 Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR\Replace panel
Work '
Fees: Valuation $1,000.00 Plan Approval $0.00 PermitFee Paid $70.00
Issued By: s%/ Date 08/27/2013 .
❑ Permit Voided�� Parcel Id# 1108990000
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
AgenUOwner
Address 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number (920)722-2642
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.
G-27-2013 01:13P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
City of Oshkosh
Division of Tnspection Scrvices �
P.O.Box 1130 �
Oshkosh, W!54903-1130
Phone(920)236-5050
Fax (920)236-5084
ON THE WAT•R
ELECTRICAL PERMIT APPLICATION .
All inforniation 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 wid�out permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Irvou ore a contraclor par[rcipaling in !he Permit Fee Accoun! Svslem and have adeguate funds, check here
if vou want this processed Ihrough your account ❑
DATE g��� i (�
JOB ADDRESS ��� � �'e ��
OWNER �Y�b� ���G:V�UI��
CONTRACTOR i � , ''
CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family DDuplex ❑Multi-Family DRental �Commercial OIndustrial
SERVICE �New DTemporary TYPE �Overhead ONot Applicable
OChange ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Pdase
Amps I 00 Switches# Fixtures#
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Gazbage Disposal �Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C OElectric Sign
DMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE � z ,
VALUE(Tncluding labor and al!materials including light fixtures) $�.r[7bD�
MASTER ELECTRICIAN C� �� 1� `���
3/02