HomeMy WebLinkAbout0158151-Electric (new service) � CITY OF OSHKOSH No �ss�5�
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1255 SPRUCE ST Owner JOE H DELIEU/ROSE M DAVID Create Date 10/OS/2013
Contractor EISCH ELECTRIC INC Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A �, Type � Overhead 0 Underground '�
Volts 120/240 Circuits Luminaires
Amps 30 Switches Receptacles
Appliances
I� — - ---�
Use/Nature of 'ICOMM\Install TWC OH service for power supply-Pole#107JJ68 �
Work
�
I �
Fees: Valuation $700.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date 10/OS/2013
❑ Permit Voided� Parcel Id# 1204760000
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 621 NEENAH WI 54957 -621 Telephone Number (920)725-5080
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 Sen�ices �
P.O.Box 11�0 �
Csiikosh,�VI�490;-1130
Phcne(920)236-�0�0
Fa:c (920) Z�6-�08=� Of I�11\O�I 1
oN r�e •.Y.;rea
�G`�a� ELECTRICAL PERMlT APPLICATION
All information after bold cateaories must be provided.
Incomplete applications�vill 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
1 ou are a contractor artici atin in the Permit Fee Account Svstem and have ade uate unds check here
�vou want this processed through vour account
�„ DATE /a/� /
JOB ADDRESS�U 5� / "Qf�" af ►a 5�5 U� �T ����e � I�7J�'b� //
owivER � m� �it�Gc�r1�/ (�a � �tECEI�ED
CONTRACTOR � / S� � /PC Tr/ C
OCT 082013
CHECK H ALL APPLICABLE
DEPARTAiE�T OF
C0�1�tUNITY DE�'ELOP�fEVT
LSE CATEGORY iNSPECTT(?�SERVICES D1�'1SION
OSingle Family �Duplex ❑Multi-Family ❑Rental I�Commercial ❑Industrial .
SERVICE�New ❑Temporary TYPE�Overhead �Not Applicable
�Change ONot Applicable ❑Underground
FILL Lr''THE APPROPRIATE BL�iNK WITI3 THE rVI�ER
Volts l�� / � � Receptacles# Circuits#
Phase `.� 2
Amps '� D Switches# Fixtures#
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ODryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DE RIPTION OF ALL WORK BEPi TG D0�1E ! N � O Q Y'
� r l � rv '
VALUE(Including labor and all materials including light fistures) $ �/O �D�
11�L-�,STER ELECTRICI�'�i ��'e V �- L I S C �
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