HomeMy WebLinkAbout0156944-Electric (service change) � CITY OF OSHKOSH No 156944
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810 SIMPSON ST Owner MARY ANN KINNEY LIFE ESTATE Create Date 07/29/2013
Contractor MY ELECTRIC CORP Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp 0 N/A � Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches __ Receptacles
Appliances
Use/Nature of :SFR\Upgrade service from 60 to 100 misc.site wiring(adding outlets)
Work
Fees: Valuation _$3,-0 0 Plan Approval $0.00 Permit Fee Paid $104.00
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Issued By: - Date 07/29/2013
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❑ Permit Voided I Parcel Id# 1407290000
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 arly necessaryr�p�rovals before starting such activity - /
Signatur� /�..��`J_ __...._� Date Z Q �
� . __ -- __.
AgenUOwner
Address 6012 KOELPIN RD OSHKOSH WI 54902 -9117 Telephone Number (920)231-0707
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 specifed 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.lHKO H
ON THE WA7ER
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 Ha11, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-ll28. Commencing work without pernut(s)will result in fees being doubled or$100.00 plus the
normal pernut fee,which ever is greater.
OR
If yori are a eoniraetor participating in the Permit Fee Aeeount Svstem and have adeyuate 1'i�nds, eheck here
ifyou want this processed through,vour account ❑
DATE7/29/2013
JOB ADDRESS 1810 Simpson St.
OWNER Wayne Hesek
CONTRACTORMY Electric Corp.
CHECK B(ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex �Multi-Family ORental ❑Commercial ❑Industrial
SERVICE QNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
�Change �Not Applicable �Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles# Circuits#
Phase 1
Amps 100 Switches# Fia�tures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
Chan�e 60 amp O.H. service with a 100 amp U.G. service.
Interior, exterior & �age rcpt's, lights, switches & crts.
VALUE(Including labor and all materials including light fiatures) $3000.00
MASTER ELECTRICIAN � � �
3/02