HomeMy WebLinkAbout0156843-Electric (service change) � CITY OF OSHKOSH No 156843
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD '
ON THE WATER :
Job Address 1113 BISMARCK AVE Owner THOMAS A WEBER Create Date 07l23/2013
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A I Type � Overhead � Underground �
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances �
�
I
Use/Nature of SFR\Service repairs due to tree damage
Work
I
Fees: Valuation $500.00 Plan Approval $0.00 PermitFee Paid $30.00
Issued By: Date 07/23/2013
� Permit Voided j' Parcel Id# 0608220000
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 s ure any necess�appr v efor tarting such activity.
Signature Date �� Z 3 � /3
AgenUOwner
Address 16 ' OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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,W I 54903-I 1 i0
Phone(920)236-SOSO ��
Fax (920)236-5084
(':ry ' �, .vNt-F
ELECTRICAL PERMIT APPLICATION
All information after bold caregories 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 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
l(t•ou are u contructor parlicipuling in [he Pcrmit Fee �1rer�lin� Si��tem unct hav� udeyuu�e (unds cherk here
i�you want this nrocessed through��vur accoun� ❑
DATE 7� z3 �/3
JOB ADDRESS ��I� ���� ,rr�� (�
OWNER
CONTRACTOR � P �I�`tn-� � � � :
CHECK 0 ALL APPLICABLE
USE CATEGORY
L�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERV[CE ❑New OTemporary TYPE �Overhead ONot Applicable
❑Change ONot Applicable ❑Underground
F(LL[N THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # � Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher �Garbage Disposal ODryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTIO1N OF ALL WORK BEING DOIYE A� S��v 1�� �r�� k�,e�G��"
_1Z��t'��5 �
or
VALUE(Including tabor and all materials in uding ' ht fixtures)$ ����
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MASTER ELECTRICIAN
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