HomeMy WebLinkAbout2013-Electric (service change) � CITY OF OSHKOSH No 158468
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1708 ROOSEVELT AVE Owner JASON P WOLFGRAM Create Date 10/25/2013
Contractor JP ELECTRIC LLC _ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A J Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
- Amps 100 Switches __ Receptacles
Appliances ! -- -
�
Use/Nature of SFR/Service change. —
Work
� — — ----- �
Fees: Valua ion $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: Date 10/25/2013
❑ Permit Voided, Parcel id# 1212590000
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 cessary approv s e st � g ch activity.
Signature `—� Date �Q (o�LS/llj
AgenUOwner �
Address 1615 OREGON ST _ OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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 specifed 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 O f f--IKO f�--�
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
If vou are a contractorparticipatin in the Permit Fee Account Svstem and have adeguate funds, check here
ijvou want this processed throu�vour account ❑
DATE /n ' Z y—�.�
JOB ADDRESS /, 7C� "� �d-ose v��. S f_
OWNER
CONTRACTOR J P �����r� /� `
CHECK E(ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground '
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Lv / ZY� Receptacles# Circuits#
Phase / ��
Amps � av Switches# Fixtures#
CHECK G3 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 ��-�Go�� ��r'v t.�. ti•
VALUE(Including labor and all ma eriais including light fixtures) $ �/!�l'.
o�
� �MASTER ELECTRICIAN
3/02