HomeMy WebLinkAbout0105321-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1345 W BENT AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL J/TAMARA OPEL
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 2
Switches 3
No 105321
Create Date 11/14/2003
Plan
~ Underground
Fixtures
Receptacles
3
10
Appliances
Use/Nature of SFR/Service change. Install 20amp bath circuit and run wire mold uptairs.
Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 11/14/2003
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 P O BOX 3960 OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
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.
Civ] of Oshkosh
Division of Inspection Services
P.O. Box 1,130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
Alt 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,
O$1%kosh W1 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
~f vott are a contractor oarticfoatin~ Jn the l~ermit Fee dccount System ond have adeouate funds, check h~c~
~tt want this t~roce$$ed through vour account ~
CHECK i~ ALL APPLICABLE
USE CATEGORY
~ingl¢ Family V1Duplex VIMulti-Family
SERVICE VINew ElTemporary
~Change nNot Applicable
[2Rental El Commercial Fllndustrlal
TYPE J~Overhead E]Not Applicable
'DUnderground
FILL IN TI'EE APPROPRIATE BLANK WITH THE NUMBER
Volts z_.L.7~l~-2~ Receptacles
Phase ~_ IAKt.P _
Amps __{ 0 b Swltcbes #'
Circuits #.
FLxtures #
CHECK ~ALL APPLICABLE
~Range EIDishwasher EIGarbage Disposal
nFan OR Blower nFumace EIMC
tDMotors r-lGas Pumps nOther_.
DESCRIPTION OF ALL woRK BEING DONE
CIDtyer F1Water Heater
[3Electric Sign
VALUE (Including labor and ail materials including light fixtures) $
~d WUS~ :LO £00~ t~Z '~OH 0~i~9~0~6 : 'ON BHOHd 3I~JIDB]B ~O~U : NO~Jd