HomeMy WebLinkAbout2013-Electric (service change) � CITY OF OSHKOSH No �s�a��
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 724 WOODLAND AVE Owner STAR PROPERTIES OF OSHKOSH 2 LLC Create Date 08/29/2013
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
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Inspector Adam Krause
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Service New � Change � Temp 0 N/A ' Type � Overhead � Underground '
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Volts 120/240 Circuits ____ Luminaires
Amps 100 Switches Receptacles
Appliances -- — -- ---- --_- _
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Use/Nature of FR/REPLACE SERVICE **check#3018 -
Work � -- - -- --
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Fees: Valu ' n $800.00 Plan Approval $0.00 Permit Fee Paid $54.00
Issued By:
Date 08/29/2013
❑ Permit Voided � Parcel Id# 0504140000
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 s ure any ne sa a als before sta�ting such activity.
Signature
Date ����' �� 3
Agent/Owner !
Address 61 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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 Buiiding 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 osnkosn
Divisian of Inspection Services �
P.O. Box I 130 �
Oshkosh,W I 54903-I 130
Phone(920)236-5050
� Fax (920)236-508� �
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ELECTRICAL PERMIT APPLICATION
All infortnation after bold catec;ories must be provided.
Incomplete applications�+�ill not be processed.
• Application(s)and feets)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903-1 128. Commencing work without permit(s)�ill result in fees being doubled or$100.00 plus the
norrnal permit fee, which ever is greater.
UR
�vo� are u Cuntruclor purlie•iputrnK in the Permi� tee 4ecnt�nt 5"s��te�r� u�id hure udeyuule�unds check her•e
Lvnu want Ihis processed through ►�our �ccnunl ❑
nATF �12�1 J 2b�3
,IOB ADDRESS �I Z� �I�I _
OWNER ,�,�r Y!���.r'I"1�iS
C�NTRACTOR��'P E t�.-hr i G LL�'
CHECK� ALL APPLICABLE
US CATEGORY
ingle Family ODuplex ❑Multi-I�amily ❑Rental ❑Commercial ❑Industrial
SERVICE ���w ❑Temporan TYPE ddOverhead ❑Not Applicable
L�dChange ❑Not Applicable OUnderground
FILL[N THE APPROPRIATE BLANK WITH THE NUMBER
Volts � 2.� / Z.�d Receptacles � Circuits#
Phase �
Amps �O Switches# _ Fixtures#
CHECK 0 ALL APPLICABLF
❑Range ❑Dishwasher �Garbage Disposal ❑Dr�er ❑Water Heater
�Fan OR Blower ❑Furnace ❑AJC ❑E lectric Sign
�Motors �Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BE[NG DONE�b�„�l� �X'V 1 C�L
VALUE(Including labor and II materials inclu ' �lig tures)$ ��•�
MASTER ELECTRICIAN
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