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0103227-Electric (service change)
OSHKOSH ON THE WATER Job Address 1041 EVANS ST Contractor J.A.W.S. ELECTRIC Service ~ New · Change Volts 120/240 Amps 100 CITY OF OSHKOSH No 103227 ELECTRIC PERMIT - APPLICATION AND RECORD Owner HENRY J NIEBAUER IV Category 634 - Residential-Service Change (~ Temp I Type _~ Overhead Circuits 0 Fixtures Switches 0 Receptacles Create Date 07/31/2003 Plan O Underground Appliances Use/Nature of ;FPJ 100amp OH service upgrade. Work Fees: Valuation Issued By: $650.00 Plan Approval $0.00 Permit Fee Paid $30.00 [] Permit Voided J Date 07/31/2003 Signature V ¢~,ln the perforrr~r~e of this workl~___~ ~C~'01'-~'~1 agree.~rform all work pursuant to rules governing the described construction. Date /~ ~ / Agent/Owner Address PO BOX 2~2--J VAN DYNE WI 54979 - .22 Telephone Number 920-517-0576 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 Impection 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. Incon~plete 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 System and have adequate fund& check here if you want this processed through your account [] JOB ~ODm~SS ?O4 I £V g ~ COX~CTOR:3 fl ©.~ ~c~ CHECK [] ALL APPLICABLE USE CATEGORY J2lSingle Family ElDuplex IDMulti-Family SERVICE IDNew rqTemporary ,~Change r'lNot Applicable DRental F1Commemial Fllndustrial TYPE [~Overhead F1Not Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE .NUMBER Volts ) C 0 / ~ © Receptacles # Phase / Amps / OO Switches # Circuits Fixtures CHECK [] ALL APPLICABLE I-'lRange I-IDishwasher ElGarbage Disposal F1Fan OR Blower EIFumace F1A/C F1Motors F1Gas Pumps E]Other r'lDryer DElectric Sign IDWater Heater DESCRIPTION OF ALL WORK BEING DONE 2.'.we) ~. cf,. 3/02