HomeMy WebLinkAbout0157908-Electric (service change) � CITY OF OSHKOSH No 157908
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 605 LILAC ST Owner CLIFFORD R SCHWEBKE Create Date 09/24/2013
Contractor MY ELECTRIC CORP Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A I Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
�
Use/Nature of SFR\Replace main breaker -
Work �
�
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: ���� Date 09/24/2013
❑ Permit Voided�i Parcel Id# 0613240000
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 ' in an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and t cure y sa provals_bsfore-startin-.su�Ch activity.
Signature �''�� � Date l 2 � 2 d�
AgenUOwner
Address 6012 KOELPIN RD OSHKOSH WI 54902 -9117 Telephone Number (920)231-0707
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OIHKO H
pN 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�you are a contractor participating in the Permit Fee Account Svstem and have ade�uate f1�nds check here
�vou want this processed through vour account ❑
DATE9/24/2013
JOB ADDRESS 605 Lilac St.
OWNER Cliff Schwebke
CONTRACTORMY Electric Coro.
CHECK H ALL APPLICABLE
USE CATEGORY
�Single Family ODuplex �Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ONew �Temporary TYPE �Overhead ONot Applicable
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles# Circuits#
Phase 1
Amps 200 Switches# Fuetures#
CHECK�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
Replacement of the main breaker.
VALUE(Including labor and all materials including light fiatures) $500.00
MASTER ELECTRICIAN
3/02