HomeMy WebLinkAbout0098611-Electric (service riser)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
500 W 19TH AVE
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BETH A HASS
Category 634- Residential-Service Change
Type I~ Overhead
Circuits 0
Switches 0
No 98611
Create Date 11/13/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Repair service riser damaged in last year's storm.
Work
Fees: Valuation
Issued By:
$450.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 11/13/2002
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECE VEI
NOV 15 &,, !
O/HKQ/H
LUP ENT
AIl infomfion after bold categories must be proviaeo.
Inco~lete applications will not be processed.
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, PO Box t 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $1.00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS 500
Q
CHECK [] ALL APPLICABLE
USE CATEGORY
~CSingle Family
SERVICE FINew
[3Change
EIDuplex nMulti-Family
[]Temporary
F1Not Applicable
F1Rental
TYPE
[]Commercial mlndustrial
[]Overhead []Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[]Range nDishwasher F1Garbage Disposal
[]Fan OR Blower []Furnace [3A/C
U1Motors [2Gas Pumps J25[Other
DESCRIPTION OF ALL WORK BEING DONE
[]Dryer
[3Electric Sign
FlWater Heater
VALUE (Including labor and all materiaJ~ including ljghJ~ixtures)~_$ ~'
MASTER ELECTRICIAN //~~ ~.
3/02