HomeMy WebLinkAbout0157894-Electric (service change) /�"� CITY OF OSHKOSH No 157894
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 912 CENTRAL ST Owner NORMAN BOCK/RUSSELL J REFF Create Date 09/23/2013
Contractor BRENNAN,DENNIS Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead 0 Underground i
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
I
Use/Nature of SFR/changing service
Work
I :
Fees: Valuation $1,250.00 Pian Approval $0.00 Permit Fee Paid $87.00
Issued By: �'\ Date 09/23/2013
❑ Permit Voided j Parcel Id# 1006620000
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 ecure any ne ssary approvals before starting such activity.
Signature ��.t�. ��_ Date �'( ?3 ��
AgenUOwner
Address 1423 RAINBOW DR OSHKOSH WI 54902 -2648 Telephone Number (920)232-7237
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 54903-1 I 30
Phone(920)236-5050
Fax (920)236-5084 O HKO H
ON THE WATER -
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 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
I�vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if you want this processed through your account ❑
DATE yI�Z 3/� 3
JOB ADDRESS � � 2 �C w�vt,A-t,
OWNER
CONTRACTOR � ��N� s � /LK Nti,/},.�
CHECK L(ALL APPLICABLE
USE CATEGORY
mSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE 00verhead ❑Not Applicable
r[7Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 12� / z� Receptacles# Circuits#
Phase 1
Amps 1 UG Switches# Fixtures#
CHECK C�1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater :
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE R�A�A-c� S E 2�; c�
VALUE(Including labor and all materials including light fixtures) $ 1 �S �7 :0 P
MASTERELECTRICIAN ��.s�.` i's,�.,...
3/02