HomeMy WebLinkAbout0105169-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1857 SIMPSON ST
Contractor SLIM'S ELECTRIC, INC.
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL/LORRIE WILLIAMS
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 105169
Create Date 11/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service change.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval $0.00 Permit Fee Paid $40.00
Date 11/06/2003
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 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number
(920) 426-5249
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 RECEIVED
Division of Inspection Services
P.O.
o WT 54903 -1130 NOV 0 5 2_ 0!0 3
Phu= (920) 236 -5050
Fax (920)236 -5084 DEPARTMENT OF ������rr
Cl
ELECTi U NEWiN PIS TION N E
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 Permij�'ee Account System and hpve.adfqupte funds. check here
if you want this processed throughyour account []
DATE 11 /03/03
JOB ADDRESS 1857 Simpson St.
OWNER Mike Williams
CONTRACTOR Slim's Electric Inc.
CHECK lB ALL APPLICABLE
USE CATEGORY
XSingle Family DDuplex DMulti- Family DRental DCommercial DIndustrial
SFRVUCF. 17New OTentporary TYPE l (Jverhead ONot Applicable
Whange DNot Applicable °Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120, 240 Receptacles # Circuits #
Phase 1
Amps 100 Switches # Fixtures #
•
CHECK la ALL APPLICABLE
DRange DDishwasher DGarbage Disposal DDryer DWater Heater
OFan OR, Blower DFurnace DA/C DElectric Sign
DMotors DGas Pumps DOther
DESCRIPTION OF ALL WORK BETNG'y DONE •
VALUE (Including labor and all , r � a um ,. _ , t, res) 9001,•
MASTER ELECTRICIAN �� .
ii 3/02
Electric Permit Work Card
Job Address 1857 SIMPSON ST Permit Number 0 Create Date 11/04/2003
Owner MICHAEULORRIE WILLIAMS Contractor SLIM'S ELECTRIC, INC.
Category
Service 0 New 0 Change() Temp • N/A Type • Overhead 0 Underground 0 N/A
Volts Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Fee $0.00 ❑ Value $900.00
Appliances
Use /Nature 11/4/03 service change
of Work
Inspections:
Date 11/04/2003 Type Service Inspector Jon Fischer approved
•
11/4/03 0 called d
11/10/03 mailed in
Date/Time requested: 11/05/2003 07:28 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 11/05/2003 07:28 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid