HomeMy WebLinkAbout2013-Electric (service change) � CITY OF OSHKOSH No 157509
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 475 ZARLING AVE Owner PAOlMAO HER CHANG Create Date 09/03/2013
Contractor LUXURY ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service � New � Change 0 Temp � N/A : Type 0 Overhead � Underground !
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances -�
I
Use/Nature of SFR/Service change(relocating the service and upgrading to 100amps).
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: �,�/`�� Date 09/03/2013
1
❑ Permit Voided I Parcel Id# 1262040000
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 y necessary approvals before starting such activity.
Signature � �l pZc) / 3 Date
AgenUOwner
Address 6071 SPRINGBROOK RD OMRO WI 54963 -8227 Telephone Number (920)685-6270
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,Wl 54903-ll30
Phone(920)236-5050
Fax (920)236-5084 K �--�
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
�vou are a contractor partic�ating in the Permit Fee Account System and have adequate funds, check here
if vou want this processed through vour account ❑
DATE�� �3 �2vi�
JOB ADDRESS �7,� �����T�r 1�
OWNER ���'�i�1i,�
CONTRACTOR ,Cr.�.��2 �'f��r� � �C-
CHECK 0 ALL APPLICABLE ;
USE CATEGORY
�Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ,�verhead ONot Applicable
�Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /1cJ /e?y� Receptacles# Circuits#
Phase s.;c�!�e
Amps /vT�'� 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 ALL WORK BEING DONE ,�c���G� C'�� ,,o — �� lcrE�,fc
.Se�-�-• �� • c��.-�-C� � l'v v i��✓
�
VALUE(Including labor and all mater' Is includi light fixtures) $ v?D vd� ��
MASTER ELECTRICIAN
3/02