HomeMy WebLinkAbout0104470-Electric (panel)OSHKOSH
ON THE WATER
.lob Address 1069 BISMARCK AVE
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRETT J PIRLOT
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104470
Create Date 09/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change 100amp panel out.
Work
Fees: Valuation
Issued By:
$400.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/30/2003
Permit Voided
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
Agent/Owner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
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.
09/39/2005 TUE 08:37 FAX 920 73S $987 SERVICE
City of Oshkosh
Divisioll of Iaspeetlon Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phon* (920) 236-5050
F~ (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
All information at~cr bold categories must be pxovided.
Incomplete applications will not be processed.
JOB ADDRESS
OWNER__ 8fe /
CONTRACTOR
· Application(s) and fee(s) can be brought to City Hall, Room 205 Or mailed to luspection Services, PO Box 1128,
Oshkosh W1 54903-1128. Commencing work without permat(s) will result in fees being doubled or $I00.00 plus the
aormal permit tee, which ever is greater.
OR
If YOU are a contractor participating in the Permit~.~ Account System and have adeouate funds, check here
if you want this processed through your accoun~ [~
CHECK [] ALL APPLICABLE
E CATEGORY
ingle Family FIDuplex FIMulti-Family
SERVICE F1New l-ITempomry
~.hange F1Not Applicable
[2Rental FICommcrcial I-Ilndustrial
TYPE ;~Overhcad E]Not Applicable
CIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts . ~-0 / ,~g C~ Receptacles #
Phase ~
~ps 1~ S~tches ~
Circuits #
Fixtures #
CH~CK I~ ALL APPLICABLE
ElRange F1Dishwasher EIGarbag~ Disposal
FIFan OR Blow*r F1Fuma¢c
~Moto~ ~Gas ~ps ~Other
DESC~ION OF ALL WO~ BEING DONE
~Dryer HWater Heater
nEleclric Sign
VALUE (lneludlng labor and all materials including light fixtures) $
3/02
Electric Permit Work Card
Job Address 1069 BISMARCK AVE Permit Number 104470
Create Date 09/30/2003
Owner BRETT J PIRLOT
Contractor TOWN & COUNTRY ELECTRIC
~
Category 634 - Residential-Service Change
Service b New . ChangeO Temp 0 N/A I Type ..Q~erh~adQ_~nderground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps
100
Switches
o
Fee $20.00
o
Receptacles
Value
o
$400.00
Appliances
Use/Nature
of Work
FRI Change 100amp panel out.
Date 09/29/2003
Type Service
Inspector Jon Fischer
approved w/cond.
Inspections:
9/29/03 called in
9/29/03 ground rods need to be 6ft apart
12/22/03 mailed in approved with conditions that Tom Fixed ground rods
DatelTime requested: 09/30/2003 07:50 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 09/30/2003 07:50 AM Requested by:
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid