HomeMy WebLinkAbout0157779-Electric (service change) /�"� CITY OF OSHKOSH No 157779
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1643 GEORGIA ST Owner NICHOLAS R/KRISTI LEVY Create Date 09/17/2013
Contractor JP 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 �� -- --- - -- ---
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Use/Natu�e of FR/SERVICE CHANGE *`check#3036
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Work
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Fees: Valuation $1,000.00 Plan Approval _ $0.00 Permit Fee Paid __ $70.00
Issued By: ���� Date 09/17/2013
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❑ Permit Voided Parcel Id# 1306933800
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 s cure any nece ary approvals before starting such activity.
Signature Date �'/�� /3
AgenUOwner
Address 1 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.
c��y ot�asn�o5n �
Division of Inspection Services
P.O. Box I 130 �
Oshkosh,W I 54903-I 1;0
Phone(920)236-SOSO
Fax (920)236-5084 -�-�
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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 Citv Hall. Roorn 205 or mailed to Inspection Services, PO Box 1 128,
C?shkosh WI 54903-I 1?8. Commencin�*wark without permit(s)tiill result in fees being doubled or$100.0U plus the
normal permit fee, which ever is greater.
OR
lf yqu ar�� c•�ntruc�l��r,�articipuling in the Permi� I-e4 ,acc•nr�iri .5'i,�tc�m und ha��e ctd�yuureJunds. c•herk here
J�}r�t�wun! this nroccssed through rour uccnun� ❑
DATE g "/?-�/3
JOB ADDRESS lL y3� �ee�`4�
OWNER
CONTRACTOR y� � ��[4'�'/'1 �- / � �
CHECK� ALL APPLICABLE
USE CATEGORY
'�ingle Family ❑Duple� �Multi-Famil� ❑Rental ❑Commercial ❑Industrial
SERVICE ❑ eti ❑Temporan TYPE �verhead ❑Not Applicable
�hange ❑Not Applicable ❑Underground
FILL 1N THE APPROPRIATE BLANK WITH THE NUM�iER
Volts 1>D /1�i,/b Recept�cles # _ Circuits#
Phase I d
Amps /w� Switches# �_ Fixtures#
CHECK �ALL APPLICABLE
❑Ran�;e ODishwasher ❑Garbage Disposal OUryer ❑Water Heater
�Fan OR Blower ❑Furnace ❑A!C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE cS�i�`V t aZ � �.��
VALUE(Includin�labor and all materiats includin�li�ht fixtures)$ /00�_ �
MASTER ELECTRICIAN
C ��Z�
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