HomeMy WebLinkAbout0158205-Electric (service change) � CITY OF OSHKOSH No �ss2o5
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2223 HAMILTON ST Owner DANIEL J KOPISH Create Date 10/11/2013
Contractor HULLAR ELECTRIC LLC Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
Service Q New � Change � Temp � N/A � Type � Overhead � Underground_ �I
Volts 120/208 Circuits Luminaires
Amps Switches Receptacies
Appliances -�
I
Use/Nature of SFR/service change �
Work ,
�"ck#3635*' ,
�_-- — I
Fees: Valuation $1,300.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: t/V v\ Date 10/11/2013
❑ Permit Voided!� Parcel Id# 1214380000
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 ne proval fore starting such activity.
Signature Date V-� "
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667 .
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
F� (920)236-5084 O.IHKO.IH
ON THF WATFR �
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
Ifvou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate firnds, check here
lf vou want this processed throu�vour account ❑
DATE l C� ^/�/�
JOB ADDRESS � .2 � 3 /��. ��,�
OWNER �� o
CONTRACTOR �
CHECK H ALL APPLICABLE
USE CATEGORY
�ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE �Overhead ❑Not Applicable
iange �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z„c� / 2ob Receptacles# Circuits#
Phase /
Amps /vo Switches# Fixtures#
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 S�'l'[�i���,��.
VALUE(Including labor and all materials' light fixtures) 9�iD'' � �c��f�
MASTER ELECTRICIAN �t�—
3/02