HomeMy WebLinkAbout0158098-Electric (service change) � CITY OF OSHKOSH No �ssoss
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1842 ASHLAND ST Owner GERALD L CHRISTIANSON Create Date 10/04/2013
Contractor FAITH TECHNOLOGIES, INC. Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service '� New � Change � Temp � N/A�, Type � Overhead � Underground ��
Volts Circuits 24 Luminaires
Amps 100 Switches Receptacles
Appliances
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Use/Nature of ISFR/replacing interior fuse box with exterior circuit panel �
Work
"*ck#991637�* .
Fees: Valuation $1,000.00 Plan Approval $0.00 Pertnit Fee Paid $70.00
Issued By: ��/✓L Date 10/04l2013
� Permit Voided Parcel ld# 1503030000
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 PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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
Fax (920)236-5084 �_�����
C�Y TW�. t+✓,�i6R .
ELECTRICAL PERMIT APPLICATION :
Atl information after bold categories must be provided.
[ncomplete 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
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�vou want this processed through your account ❑
DATF � �
JOB ADllRESS
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�EPART�IE\T OF
CHECK�ALL APPLICABLE C0�9�tU�iTY DEVELOP'NE:YT
INSPECTTOV SER\'ICES DI�'ISIQV
U�S CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial :
SERVICE ❑Ne�v OTemporary TYPE �head ❑Not Applicable
�nge ❑Not Applicable ❑Underground
FILL Ilv THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
ci
Phase
Amps /�d Switches# Fixtures#
CHECK l3 ALL APPLICABLE
❑Range ODishwasher OGarbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFumace ❑A/C ❑Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING dC}NE 4����°C: u � "�� '° �� '�° �
�" �, ;: ,,i��" �,�
/ ���
VALUE(Including labor and all materials including light fixtures)� 1 �j���� �
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MASTER ELECTRICIAN � �- � ��t�� �
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3/02