HomeMy WebLinkAbout0099301-Electric (service upgrade)OSHKOSH
ON THE WATER
,Job Address 1690 BRENTWOOD DR
Contractor J.A.W.S. ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RANDALL L Z STEINIKE/PATRICIA C
Category 634- Residential-Service Change
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99301
Create Date 01/06/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/200 amp underground service upgrade.
Work
Fees: Valuation
Issued By:
$600.00
Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 01/06/2003
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
OSHKOSH
ON THE WATER
JobAddress 1690 BRENTWOOD DR
Contractor J.A.W.S. ELECTRIC
Service ~) New O Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
(~ Temp
Owner RANDALL L Z STEINIKE/PATRICIA C
Category 634- Residential-Service Change
I Type _(~ Overhead
Circuits 0
Am ps 200 Switches 0
No 99301
Create Date 01106/2003
Plan
_(~. _. ~_n ~¢[ .g. ro _u n_d_ _
Fixtures
Receptacles
Appliances
Use/Nature of ~FR/200 amp underground service upgrade.
Work
Fees: Valuation
Issued By: ~
$600.00 Plan Approval
$0.00 Permit Fee Paid $25.00
Date 01/06/2003
[] Permit Voided
In the performance If this wo. rk,~ee~m all work pursuant to rules governing the described construction.
Signature ¢'~ ~ (~ 1~,,..~O'~~ ~ Date
~,,. J Agent/Owner
Address PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O_/'HKO/H
ON TI--IF \VATER
ELECTRICAL PERMIT APPLICATION
All 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,
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 funds, check here
if you want this processed through your account []
OWNER .~
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
Jl~,Single Family I-IDuplex []Multi-Family
SERVICE FINew F1Temporary
~Change F1Not Applicable
l-lRental
TYPE
FILL IN TIlE APPROPRIATE BLANK WITH THE NUMBER
Volts ~2.c~ / ~q ~ Receptacles #
Phase ? GO
Amps ~Oc> ~ Switches #
I-ICommercial l-llndustrial
F1Overhead F1Not Applicable
J~Underground
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange FIDishwasher IZlGarbage Disposal r'lDryer
FIFan OR Blower VIFumace FIA/C ElElectric Sign
[] Motors [] Gas Pumps [] Other
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materi~ls
MASTER ELECTRICIAN ?J0~
including light fixtures)
3/02