HomeMy WebLinkAbout0157071-Electric (service change) � CITY OF OSHKOSH No 157071
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1100 EASTMAN ST Owner PATRICK M NEMECEK Create Date OS/06/2013
Contractor T RUCK ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service �Q New 0 Change � Temp � N/A Type � Overhead 0 Underground
Voits 120/240 Circuits Luminaires
-
Amps 100 Switches Receptacles
Appliances
� �
Use/Nature of DUP\Strap service cable,replace lower cables to panels,do grounding and bonding.
Work
�
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: Date 08/06/2013
❑ Permit Voided', Parcel Id# 1003260000
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 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
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 Tnspection Services �
P.Q.Box 1 130 ' �
Oshkosh,�VI �49U?-1I30
Phone (920j 236-50�0
rax (92G!23G-508� I�;r�, i�i
O f�--�r���j --
C�n� THF ���'ER � .
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete appiications will not be processed.
• Application{s} and fee(s) ean be brought to City Hall,Room 2U5 or mailed to Inspection Services. PU Bc�s ? ?=�,
Oshkosh WI 549J3-1128. Commencing work without permit(s) will result in fees being doubled or$100.0U pius the
normai permit fe�, which ever is greater.
OR .
!f vou are a contra^tor particiaating in the Permit Fee Account System vnd hat�e adeni�atn Irrnr�s c�erh• �� y�� �
if vou want this processed through vnur account ❑ , :
• DATE ���
JOB AUllRESS
UR'NER '
CONTRACT'OR � � � ,_ .� �
,_' �
CHECK H A.�L APPLICABLE
U E CATEGORY
ingle Fan�ily C>Duplex �l�iulti-Family ❑Rental �Commercial Cllndustnal
SERVICE ❑New OTemporary T�'PE �Overhead C1Not Applicabie
❑Change �Not Applicabte ❑Underground
FILL IN THE A,PPROPRIATE BLANK tiVITH THE NUh1BER
f
Volts� / t�� Receptacles # Circuets#
Phase
Amps �(t�- _ S�vitches # Fixtures #
CHECK H ALL APPLICABLE
ORange ODishwasher ❑Garbage Disposal C]Drver Cltiti ater Heate;
❑Fan UR Blower �Furnace ❑A��, DElectric Sign
❑Motors ❑Gas Pumps ❑Other
UESCRIPTION OF AI,L WURK BEING llUNE_ r
� - -- �72�3��
_ s �2�
-� :7.o R -
�'ALUE (Inctuding fabor and all mat i s ' cluding fight Gxtures) $ G� �'
, - "�' .
141ASTER ELECTRICIAN