HomeMy WebLinkAbout0157060-Electric (service change) /�'� CITY OF OSHKOSH wo 157060
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1832 W WAUKAU AVE Owner ROBERT M MATULLE Create Date 05/10/2013
Contractor HOEHNE ELECTRIC Category 634-Residential-Service Change Plan :
Inspector Adam Krause
Service New � Change Q Temp � N/A Type � Overhead � Underground _J
Volts 120/240 Ci�cuits Luminaires
Amps 200 Switches Receptacles
Appliances
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Use/Nature of FR\Service change due to storm damage "debit acct �,
Work '
Fees: Valuation $1,700.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: (�� Date 08/06/2013
❑ Permit Voided I Parcel Id# 1334343002
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 N1798 JUNCTION LN BERLIN WI 54923 -8923 Telephone Number (920)379-8200
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.
Rug 06 2013 8: 40 HP LRSERJET FRX P, 1
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ELECTRlCAL PERMlT APPLIGATION
wll�nforma�on.Rer bold c�or�es musc be p�aviaed.
Inoompkbe epplieatioaa wiU not be procwao� '
• Applica2ion(s)sad feo(s)cau ba 6ao�ght to Ci�►H,all,Ro�om�OS or mailed to InsPection Scivtcas.PO Bax I 1Z6, '
Oshkosh Wi 54�03-1128. ComAO�ncirtg wor�r wit�oat Pera�ib(s3 will�su�lt ia fres being doublod cr SIQQ.00 plus the
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CHECK 6d Ai.L APPLICABLE
�S CATEGORY •
le Family QUuplex QMvlti Famiiy �Rectal ❑Commercial QIndustriat
SERVICE �Iew aTemgarary TYPE �Overheaci ONat Applicsbk
�hange QNot App�blo ����
FILL IN THE APPROPRIATE BGArTIC�YITH THE��
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CHECK fia ALI.APPLICABLE
❑Ran t7Disbwasher OGSr6a�e Disgosal . �Dryer L7 Watar Hearer
OPan R Blawer C]Furnace C]A/C � �El�ric Siga
OMotors QGas Pumps �Other
DESCRIPTION OF ALL WORK BEIlITG DOiV'E
YALUE{inclidug hbor and alt ts inclndEa�11�Et ) �` � ��J
MASTER EI.LrCTRICLAN
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