HomeMy WebLinkAbout0156882-Electric (service change) � CITY OF OSHKOSH No �ssss2
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 422 W 8TH AVE Owner WESLEY P MARX Create Date 07/24/2013
Contractor EAGLE ELECTRIC OSHKOSH LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A I Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
i
:
Use/Nature of Service change. -�
Work '�
� ��
— ------ --— I
Fees: Valuation $8 0 __, Plan Approval $0.00 Permit Fee Paid _ $54.00
Issued By: � �-� Date 07/25/2013
❑ Permit Voided' Parcei Id# 0905810400
In the performance of this work I agree to perform all work pursuant to rules goveming 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 5421 NICKELS DR OSHKOSH WI 54904 -9530 Telephone Number (920)252-1806
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,WI 54903-1130
Phone(920)236-5050 O.IHK�.IH
Fax (920)236-5084
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$100.00 plus the
normal permit fee,which ever is greater.
OR
1}'vou are a contractor participatin� in the Permit Fee Account Svstem and have adepuate funds, check here
if vou want this processed throu�h vour account ❑
DATE � -a� - � �3
JOB ADDRESS ��� �) e �,'I"I/1 �U �
OWNER KA � � (�(Z x
CONTRACTOR �I� C��� �, L,,� LT'�-� �
CHECK 0 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE i$�Overhead ❑Not Applicable
`�Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 Z.B l��10 Receptacles# Circuits# :
Phase �
Amps ��C� 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 �� Y'l�1 c.� P,�a r,C�. �
VALUE(Including labor and all materials inctuding light fixtures)$
�oa G°
MASTER ELECTRICIAN_\ ��,��� �O�Z��
3/02