HomeMy WebLinkAbout0157394-Electric (service change) � CITY OF OSHKOSH No 157394
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 972 E SUNNYVIEW RD#31 Owner CHARLES&TAMMY SCHROEDER Create Date 08/23/2013
Contractor M.R.TEAS INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appiiances �
Use/Nature of MH\Replace service due to age
Work
�
�
Fees: Valuation $500.00 Plan Approval $0.00 PermitFee Paid $30.00
Issued By: Date 08/23l2013
❑ Permit Voided I Parcel Id#
In the performance of this work I agcee.�perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has-rfo author to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit " li tior�within a easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to cu ��n n ce�ary app vals before starting such activity.
Signature � Date �- Z Z - ( �j ;
� � AgenUOwner
Address 7065 WOODENSHOE RD NEENAH WI 54956 -9747 Telephone Number (920)720-2288
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
Fax (920)236-5084 O.lHKOf H
pN 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
Ifvou are a contractor participatinQ in the Permit Fee .Account Svstem and have adeguate,�'itnds check here
if vou want this processed through your account ❑
DATE � rI'� I r /
JOB ADDRESS �7 Z � ���,✓L H t,.!_c� '�3 �
OWNER �c V�`_�c�.v��..� j'f?l-f�iv f�'�o C�C.�
CONTRACTOR /�t B� � l c� .L-Y��
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CHECK 0 ALL APPLICABLE
USE CATEGORY '
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
�hange ❑Not Applicable �Underground :
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,�v /�-YV Receptacles# Circuits#
Phase /
Amps�j� Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C � / ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other fL,/C)j i�� /jm�y� :
DESCRIPTION OF ALL WORK BEING DONE�/1/•C ct� ,�-e��' S 7�--� 0� /-t �{C�
o�
r /
VALUE(Including labor and all materials includin light fixtures) $ .SUC�
MASTER ELECTRICIAN
3/02