HomeMy WebLinkAbout0159164-Electric (service change) � CITY OF OSHKOSH No 159164
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1551 HARRISON ST Owner EXCEL PROPERTIES LLC Create Date 12/27/2013
Contractor JP ELECTRiC LLC _ __ __ _ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change_ 0 Temp 0 N/A I Type � Overhead � Underground I
Voits 1209/240 Circuits Luminaires
Amps 100 Switches Receptacles
APPiiances -- - - - -- -�
� -
Use/Nature of SFR\Change service due to correction notice - ' ;
Work
� -- _
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 12/27/2013
❑ Permit Voided', Parcel Id# 1504610000
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 t secure any ne ss ry p a�starting such activity.
Signature Date �? ��=�
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 54903-1 1 30
Phone(920)236-5050
Fax (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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatin� in the Permit Fee Account Svstem and have adeguate funds check here
ij'vou want this processed throu�h vour account ❑
DATE -�- 2? !
JOB ADDRESS f 5_5/ ,/���'�iS6�J ��
OWNER �"„��+� I
CONTRACTOR tS Q �?j���f��- l j�
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial :
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Votts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�ALL APPLICABLE .
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ��0 (G'��'� c��(`�J���
VALUE(Including labor and all materials" luding light fixtures)$ ���� �) :
MASTER ELECTRICIAN �
3/02