HomeMy WebLinkAbout0157290-Electric (service change) /�'� CITY OF OSHKOSH No 157290
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 22 W BENT AVE Owner OSHKOSH RENTAL PROPERTIES LLC Create Date OS/07/2013
Contractor EFFICIENT ELECTRIC, LLC 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
Use/Nature of SFR/service change
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: _ �� Date OS/19/2013
❑ Permit Voided' Parcel Id# 1502620000
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 sec vals re starting such activity.
Signature Date
AgenUOwner
Address 1648 WESTERN ST OSHKOSH WI 54901 -2869 Telephone Number (920)915-8881
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 specifed 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,WI54903-1130
Phone(920)236-5050
F� (920)236-5084 O.IHK�.IH
ON THF WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I �ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here �
if vou want this processed throu�h vour account ❑
DATE �
JOB ADDRESS ��
OWNER l t
CONTRACTOR � / ,
CHECK H ALL APPLICABLE
U$E CATEGORY
��Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ONew ❑Temporary TYPE�Overhead ❑Not Applicable
�IChange ❑Not Applicable Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / � Receptacles# Circuits#
Phase
Amps Switche�# 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
VALUE(Including labor and all materials including light fixtures)$ ���
MASTER ELECTRICIAN �
3/02