HomeMy WebLinkAbout0105116-ElectricOSHKOSH
ON THE WATER
.lob Address 1521 WESTERN ST
Contractor CONCEPT SERVICES INC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL R HENSCH
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 4
Switches 15
No 105116
Create Date 11/04/2003
Plan
~ Underground
Fixtures
Receptacles
10
25
Appliances Range
Use/Nature of SFR/Service change and remodel home due to fire.
Work
Fees: Valuation
Issued By:
$5,352.00 Plan Approval
$0.00 Permit Fee Paid $120.00
Date 11/04/2003
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 4033 HWY 57 DE PERE WI 54115 - 0 Telephone Number
920-336-8463
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
O/HKO/H
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 you are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if you want this processed through your account []
CO WCTOR 5 vvCd( J
CItECK ~I ALL APPLICABLE
USE CATEGORY
~Sj.ngl e Family DDuplex IZlMulti-Family
SERVICE FINew F1Temporary
~hange I-1Not Applicable
E]Rental F1Commercial Fllndustrial
TYPE ~l;)verhead E]Not Applicable
'[3Underground
FILL IN TIlE APPROPRIATE BLANK WITH THE NUMBER
Volts ]~(~ / o~L/ 0 Receptacles # ~ C
Phase ] ('J /E"-
Amps / (~ (~ Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
~J~ange IqDishwasher t2Garbage Disposal rqDryer
[qFan OR Blower FIFumace F1A/C [qElectric Sign
DMotors F1Gas Pumps F1Other
DESCRIPTION OP ALL WORK BEING DONE ~l/~r(9 ('~v~5~, ~0
F1Water Heater
VALUE (Including la or~ll/m~erial.~s~t fixtures) $ f ~'~21
MASTER ELECTI~CIAN /-~ ~/~ L/~ ~
3/02