HomeMy WebLinkAbout0098780-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 1019 E IRVING AVE
Contractor HOMEOWNER
Service ~) New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC .PERMIT - APPLICATION AND RECORD
Change (~) Temp
No 98780
Owner NICOLE L SHANAHAN
Category 634- Residential-Service Change
I' Type (~ Overhead
Circuits 0
Switches 0
Create Date 11/25/2002
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of 1/25/02 service change
Work
Fees: Valuation
Issued By:
$1,000.00
Plan Approval
$0.00 Permit Fee Paid $45.00
Date 11/25/02
[] Permit Voided~
The undersigned, in a~n Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the~ndersigned, hereby acknowledges per City Municipal Code Section tl-22, that other
individuals may not be employedto assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to~erform said _work.
In the performance ,~f-thi.~3Y_0rk I,~l~ree to p¢~ all ~ork_g. ursuant to rules governing the described construction.
Signature ~~r~%- /~ ~ Date ,,- ~ .¢'-~%._
~ / w Agent/Owner
Address OSHKOSH WI 5490- 0000 Telephone Number
Electric Permit Work Card
Job Address 1._0_~9~E IRVING____~AVE Permit Number 98780
Owner NICOLE L SHANAHAN Contractor HOMEOWNER
Category 634 - Residential-Service Change
Service ~) New O Change 0 Temp 0 N/A I Type
Volts 110/220 Circuits 0
Amps 200 Switches 0
Fee $45.00 []
Overhead
Create Date 11/25/2002
Underground _~_ N~/_A- ........ _~
Fixtures 0
Receptacles 0
Value $i,000.00
Appliances
Use/Nature 11/25/02 service change
~f Work
Inspections:
Date
Type Service Inspector Jon Fischer
cancelled
IRequest Line -
cancelled @ 4:23 p.m.
Date/Time requested: 01/02/2003 04:10 PM Notice Type: __
Access:
Phone Number:
Ready Date/Time: 01/03/2003 11:00 AM Requested by: Scott
. _?_ _R_ei_n_sp_ e.c_t _F_ee_ .(~)_, F_e_e_ .W_a_vi_ed___.: _~__ R. e_in_ tp_e_ct' F_e_e. P.a. id_ .......... _/~ / ......................
Date Type Service Inspector Jon Fischer fl/' approved
7'
IRequest Line
~ 1/6/02 approved
Date/rime requested:01/02/2003 04:23 PM Notice Type: __
Access:
Phone Number: 735-9235
Ready Date/Time: 01t06/2003 11:00 AM Requested by: Scott
C) Reinspect Fee (~) Fee Wavied [] Reinspect Fee Paid