HomeMy WebLinkAbout0157070-Electric (service change) � CITY OF OSHKOSH No �s�o�o
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1607 N MAIN ST Owner THOMAS G PUTZER Create Date 04/29/2013
Contractor T RUCK ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service p New � Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/Replace OH service and install kitchen outlets
Work
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: � Date OS/06/2013
� Permit Voided� Parcel Id# 1502580000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection t'ervices �
P.Q. Box 1130 ' �
Oshi:osh,\�.'I �49U?-t 13U
Phone(92Q)236-SQ50
!=ax (92�) 23(i-5084 O�� I(\�i i�
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ELECTRICAL PERMIT APPLICATiUN
All information after boid categories must be provided.
Incomplete applications will not be processed.
• Application(S}and fee(s:) can be brought to City Hall,Room 205 or mailed to Inspection Sen�ices, Pta Box � ?,�,
Oshkosh �TI 549J3-1128. Commencing work without pernnit(s) will result in fees being doubled or$}00_OU pius i}�e
nc�rrna3 permit fee, which ever is greater.
OR .
If vou are a contractor Darticipating in the Permit Fee Account Svstem an ,d have adequate Iiinds rhe�•i; �t �-��
if rou want this processeci thraugh your account ❑ �
� llAT'E ��
30B AUDRESS __J(�_O �� •
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O«'NEHT� �---� , ��--Z.��
CUNTRACTOR� �'' ' e .
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CHECK H A�,L A�PLICABLE
US ATEG�RY
E�le Fan�i(y ❑Duplex QMu1ti-Family ❑Rental ClCommercial ❑Industna?
SERVICE ❑New ❑T'emporary TYPE �head �No�Appiicabie
9�Etrange ONot AppIicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUAiBEIi
�'olts U / 2�0 Receptacles# 3 Circuits#
Phase
Amps S�ritches#f Fixtures #
CHECK H ALL APPLICABLE
C7i.ange ❑Uishwasher ❑Garbage Disposal C7Dryer OWater Heater
C�Fan UR Blower �Furnace ❑AIL ❑Electric Sign
C7Motors pGas Pumps ❑Other
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DESCRIPTIOI�OF ALL WORK BEING llUNE
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Z'AI..UE (Inciuding�abor and all materi 'ncluding ifght fixtures) $_„_ �- Cy• -~
hIAS7ER ELECTRICIAN
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