HomeMy WebLinkAbout0158936-Electric (service change) � CITY OF OSHKOSH No 158936
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 816 W 12TH AVE Owner ANNABELLE JANKE LIVING TRUST Create Date 12/02/2013
Contractor MY ELECTRIC CORP _ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead _ � Underground _J
Volts Circuits _ _ Luminaires
Amps Switches
Receptacles
APPliances — - --- — - -
I
I
- - — _�
Use/Nature of SFR/CHANGE SERVICE FROM 60 TO 100AMP AND ADD RECPTS,SWITCHES, LIGHTS AND CIRCUITS "check#19059
Work I
I
�— — -
_
-- - - -- ---- - - _-JI
Fees: Valuation �4,000.00 Plan Approvai _ $0.00 Permit Fee Paid $121.00
Issued By: �l Date 12/02/2013
❑ Permit Voided', Parcel Id# 1303330100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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 necessa a ing suc
Signature r2 /
Date
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 �HKQ�H
ON 7HE 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 pernut(s)will result in fees being doubled or$100.00 plus the
normal pernut fee, which ever is greater.
OR
If vou are a contractor participatin,� in the Permit Fee Account Svstem and have adeyuate fi�nds check here
i f vou want this processed through your account ❑
DATE 12/2/2013
JOB ADDRESS816 W. 12�'Ave.
OWNERAnnabelle Janke
CONTRACTORMY Electric Coro.
CHECK H ALL APPLICABLE
USE CATEGORY
�Single Family ODuplex ❑Multi-Family ORental ❑Commercial DIndustrial
SERVICE �New �Temporary TYPE �Overhead �Not Applicable
�Change �Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK Bf 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
Change 60a to 100a service. Add repts switches lights circuits
VALUE(Including labor and all materials including light fiatures)$4000.00
MASTER ELECTRICIAN
3/02