HomeMy WebLinkAbout0104443-Electric (service change)OSHKOSH
ON THE WATER
JOb Address 523 AMHERST AVE
Contractor DREXLER ELECTRIC
Service ~ New · Change
Volts 1201240
Amps 100
CITY OF OSHKOSH No 104443
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner A R PROPERTIES
Category 612 - Residential-Single Family Addition/R
(~ Temp Type ~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 09/29/2003
Plan
(~ Underground
Appliances
Use/Nature of ~FPJ RENTAl./Replace service entrance cable and grounding.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00
Permit Fee Paid
$20.00
Date 0g/29/2003
[] Permit VoidedI
In the performance of this work I agree to perform ail work pumuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement rastdctions 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589-6700
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
RECEIVED
SEP 2 9 _003
DEPART[ ENT OF
ELECTRICAL
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
· Application(s) and fee(s) can be brought to Ci.ty Hail. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 5490%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
lf vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through 'iour account []
OWNER
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE [3New
~12Change
[2Duplex [~Multi-Family
[3Temporary
nNot Applicable
[8~.Rental [~Commercial 12Industrial
TYPE [3Overhead F1Not Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ./~-* /D."/~ Receptacles # ----
Phase ~
Amps /d~ Switches # ~
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[3Range [3Dishwasher
mFan OR Blower [3Furnace [3A/C
[:]Motors DGas Pumps [3Other
DESCRIPTION OF ALL WOR.~ BEING DONE
[3Garbage Disposal
[3Dryer [3Water Heater
[3Electric Sign
VALUE (Including labor and all materials including light fixtures) $ c_~d~ <3 · --"-
3/02