HomeMy WebLinkAbout0104697-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1510 W MURDOCK AVE
Contractor LARK ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SAM/DEBORAH B GIBSON JR
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104697
Create Date 10/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change service.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 10/09/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
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.
Ru~ 12 03
~ of Inspectioa Setviocs
P.O. Box 1130
Oahlm~ WI 54903-1130
Phone (920) 2365050
Fax (920) 236-5084
ELECTRICAL PERMIT APPUCATION
All ~foncation after bold ca. talcs must be provid~
· Application(s) and fi~(s) ca~ bo l:rmught to Oity Hall Room 205 or m~led to tr~ectio~ Services, po Box 1128,
Oslikosh ~ 54~%11~. ~g w~ ~ ~s) ~H ~t ~ f~s ~g ~b~ or $I~.~ pl~ ~
no~ ~t f~, w~ch ~ ~ ~.
OR
If you ~,~ ~ Co~traclor ~a~ticip~ting ~n the, ~erm~t ~ee ~c~ount,Sysle~ an~ ~a~e adequate funds. C~Ck,~er~
if you want this ~roce~sed throu~h your account ~
mgleCATEGORY
Family C1Duplex [2~vlulti-Family
~mnge ONot A~plicable
[3Rental OCo, m~crcial r'lladustrial
TY~ ,~Overhead C~ot Applicable
nUnd~-o~
Cme. CK I~ ALL APPLICABLE
ORange ODi~
OFan OR Blower ClFumace
13Motors E3Gas Pumps
D~SCRll~ON OF ALL WORK IW2~G I)OlVE
OGarSage ~l ODr,~r
O~C O FJe~u'ic S~gn
OWatcr Hcat~r
3/02