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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