HomeMy WebLinkAbout0157191-Electric (service change) /�'� CITY OF OSHKOSH No 157191
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1153 W 6TH AVE Owner DONALD N FLANIGAN Create Date 08/05/2013
Contractor MICHELS POWER Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps _ 100 Switches _ Receptacles
Appliances _ _ -- _ ---- _ - - _
I
I
Use/Nature of FR\Replace service due to deteriorated cable **check#178034
Work I
Fees: Valua'on $1,100.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date OS/13/2013
� Permit Voided I Parcel Id# 0606200000
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 1775 E SHADY LN NEENAH WI 54956 - 1155 Telephone Number (920)720-5200
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.
;
1 City of Oshkosh
Division of Inspection Services � .
P.O.Box 1130 �
Oshkosh,WI 54903-1130 :
Phone(920)236-5050
Fax (920)236-5084 O�u�(O��f
� �i� I I
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
If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here
ifvou want this processed through vour account ❑
DATE O � ! � ` J
JOB ADDRESS 11�3 � lv n� � V�. �� ;
OWNER �� n o. [ � r l c�v��.; c� cz,�� � �o �
, 9- ,� � �
CONTRACTOR I�Y� I G(l� 'S � �`i C�C'— � !�, ��C I ��Q
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CHECK E(ALL APPLICABLE O l
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USE CATEGORY
�«Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE �Qverhead ❑Not Applicable '
�hange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �o� /��� Receptacles# Circuits#
Phase � �
Amps � p� Switches# Fixtures#
CHECK �ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C e�v�, ❑ lectric Sign
❑Motors ❑Gas Pumps �Other S C e � L�2�l 2
DESCRIPTION OF ALL WORK BEING DONE :
VALUE (Including labor and all materials including light Cixtures) $ f/ ���
MASTER ELECTRICIAN�� ����i�� �,� � / 7a� /
3/02