HomeMy WebLinkAbout0102892-Electric (change service0OSHKOSH
ON THE WATER
.lob Address 2633W 9TH AVE
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LEON A/SUSAN C CHOLEWINSKI
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102892
Create Date 07/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change 100amp overhead service to underground. *Job #37567
Work
Fees: Valuation
Issued By:
$$00.00 Plan Approval $0.00 Permit Fee Paid
$35.00
Date 07/17/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
07/15/2005 WED 08:07 FAX 920 ?$8 8987 SERVICE ~001/005
City of Oshkosh
Division of Inspectlon Services
P,O, Box 1130
Osh.ko~h, WI 54903-1130
Phoae (920) 236-5050
Fax (~}20) 236-5084
ELECTRICAL PERMIT APPLICATION
All information allot bold categories most bc ptovided.
Incomplete applications will not be processed.
b./HKO, fH
· Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal p~rrait fee, which ever is greater.
OR
[f ~ou are a contractor t~articivatin~.O~ the t~ermit Fee .4ccou~ System and have adgq~ate funds, check here
if you want th~$ l~roce~.ved th~'.q.ttJ~tt your account []
JO*A* m SS St' 33 VO, 54-.
CItECK Igl ALL APPLICABLE
UO~E CAT~GORY
~3ingle Family r'IDuplex [3Multi-Family
SERVICE r~N0w I-ITemporary
~[~hange I'lNot Applicable
VIRental F1Commercial Fllndustrlal
TYPE [2Overhead F1Not Applicable
~l~lnderground
FILL lin THE .aPPROPRIATE BLANK WITH TIt~ NUMBER
Volts - /~'~ / 2~/~ Receptacles # Circuits #
Phase S~ t~ I ~
Amps ~Ot~ Switehe~ # Fixtures #
CB~CK El ALL APPLICABLE
l"lRang~ . I-IDishwa~hex FIGarbage Disposal FIDryer V1Water Heater
~Fan OR Blower [3Furnace EIA/C EIElectric Sign
r'lMotors F1Gas Pumps [3Other ,_
DE$CRIPTIONOFALLWORKBEINODON'E (~'gl/~M. //~.A,.~/O ~l/~r-ltm~a/
VALUE (lnelndlng labor and oil materials includlng light fixlures) $
/