HomeMy WebLinkAbout0158323-Electric � CITY OF OSHKOSH No 158323
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 436 W 17TH AVE Owner FEDERAL HOME LOAN MORTGAGE CORF Create Date 10/18/2013
Contractor HOEHNE ELECTRIC Category 634-Residential-Service Change Pian
Inspector Adam Krause
Service New � Change � Temp 0 N/A ' Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
UselNature of SFR\SERVICE CHANGE �
Work
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Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: �� � Date 10/18/2013
� Permit Voided Parcel Id# 0908630000
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 N1798 JUNCTION LN BERLIN WI 54923 -8923 Telephone Number (920)379-8200
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.
10/16/2013 FRI 7: 37 FAX 920 236 6050 Viking Electric �001/001
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City of Oshkosh ���"'/ �*�iy- `- ` �.`: • �.��r
Division of Inspectioa Serviccs � �
P.O.Bax 1130 �
Oshkosh,WI 549Q3-1130 � „
Phono(920)236-5050 —"� �;',�� f �,i
Fax (920)236-5084 ,��7��-G-�� ��/``'��t:- � .��� �io � u
1 ON H WATFR � I
ELECTRICAL PERMIT APPUCATION
All information after bold categories must be provided.
Incomplete applications wiJl not be processed.
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspeation Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will resutt in fees being doubled or$100.00 plus tbe
normal permit fee,which ever is greater.
OR
If vou Fre a contraclor yarlici�atinQ in the Permit Fee Account Svstem and have ade te unds check here
ff vou want thrs processed through vour occount ❑
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JOB ADDRESS �� � �c.,- ✓� ��` L 1
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OWNER ��F:i•t/��r:.�� 1`�<�:i�. .-'��.::." k �-� (�,,:'�:.:_�
CONTRACTOR `?` "!jr)�_ Z:-��-��T�,C�
CHECK 0 ALL APPLICABLE
/�U E CATEGORY
ingle Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Induslrial
SERVICE �New OTemporary TYPE�Overhead �Nat Applicable
�Change ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH TF�NUMBER
Volts r� 3 ��' C ..� Receptacles# Circaib#
Phase
AmFs . � Switches# Fiutures#
CHECK�J ALL A.PPLICABLE
ORange ❑Dishwasher [�Garbage Disposal � ODryer ❑Water Heater
OFan OR Blower OFutnace C7AIC OElecttic Sign
❑Mators ❑Gas Ptunps OOther
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DESCRIPTION OF ALL WORK BEING DO;YE= �'�I'�1��(� ��.,�� (/_i�,+tl(;��
VALUE(Including labor and nugterial9 inctudin�1[ght iiztures) T' '�'� {`"�{�
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MASTER ELECTRICIA � � ���` -��-- :�,
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