HomeMy WebLinkAbout0158035-Electric (service change only) � CITY OF OSHKOSH No 158035
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1650 IOWA ST Owner ARLIS R MARKEL Create Date 07/12/2013
Contractor JP ELECTRIC LLC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp__ 0 N/A � Type � Overhead _ � Underground �
Volts 120/240 Circuits Luminaires
Amps _200 Switches Receptacles
Appiiances i—
I I
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Use/Nature of FR/SERVICE CHANGE '*check#3065
Work
Fees: Valuation $850.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 10/01/2013
❑ Permit Voided Parcel Id# 0908510000 .
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 e re y ces a provals before starting such activity.
Signature Date � � � 3
AgenUOwner
Address 1615 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 I 130 �
Oshkosh,W 1 54903-I I 30
Phone(920)236-5050 �
Fax (9201236-5084
,.. . . .S'AI'-4 .
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and feets)can be brought to City Hall, Room'05 or mailed to lnspection Services, PO Box 1 128,
Oshkosh WI 54903-1 128. Commencing wark without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
1�ti'ou ure u contructor pUrticipuling in the Permi! Fre .icrnr�nt Svstem unc� havr udeguu�e Juncls cherk here
if vou want this nrocessed lhraugh vnur uc�cnun� ❑
DATF. 1 C7 I 1 � (�J
JOB ADDRESS I�0 'rJ O I(�W(� V�
OWNER
CONTRACTOR_�1p C�1(,�t.L�,
CHECK� ALL APPLICABLE
USE CATEGORY
�S7Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial Olndustrial
SERVICE ❑New ❑Temporary TYPE �verhead ❑Not Applicable
�hange �Not Applicable Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � 2-� l 2`�G Receptacles# Circuits#
Phase 1
Amps ° Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Ditihwasher �Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower OFurnace OA/C ❑Electric Sign
❑Motors ❑Gas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE SPXV( C�, (��I'�,I�LC�C�
VALUE(Including labor and sll aterials including light fixtures)$ $5O. (Y'�
MASTER ELECTRICIAN