HomeMy WebLinkAbout0104324-Electric (service change)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
401 HIGH AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Temp
Amps 600
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DAVID M GAULKE
Category 644- Commercial-Service Change
Type I~ Overhead
Circuits 0
Switches 0
No 104324
Create Date 09/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Change 600amp service from overhead to underground. *Job #299587.
Work
Fees: Valuation
Issued By:
$1,175.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/22/2003
Permit Voided
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
Agent/Owner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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
Fax (920) 236-5084
ECEIVED
SEP 2 2 200
RTMENT OF
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON TNF WATER
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 you are a contractor participating in the Permit Fee Account SVstem and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS qol J"/1'¢~7
CHECK [] ALL APPLICABLE
USE CATEGORY
mSingle Family [2Duplex F1Multi-Family
SERVICE FINew [3Temporary
~Change FINot Applicable
[2Rental [2Commercial nlndustrial
TYPE FIOverhead DNot Applicable
}i~Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts . / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CItECK [] ALL APPLICABLE
DRange [3Dishwasher ElGarbage Disposal DDryer
r'lFan OR Blower E]Fumace DA/C F1Electric Sign
F1Motors ElGas Pumps F1Other
DWater Heater
DESCRIPTIONOFALLWORKBEINGDONE f~[,qat~a.Z [v,90,q ~¢~Yi~6
VALUE (Including labor and all materials including light fixtures) $ /t/ '7~0 0
MASTER ELECTRICIAN ~f~d~/
pe. mi4- Cee/
3/02