HomeMy WebLinkAbout0099411 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
614 E NEW YORKAVE
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LUCILLE H MOERI LIFE ESTATE
Category 634- Residential-Service Change
Type I~ Overhead
Circuits 0
Switches 0
No 99411
Create Date 01/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install 100A O.H. service change and install 1 wash machine recp.
Work
Fees: Valuation
Issued By:
$984.00 Plan Approval $0.00 Permit Fee Paid
$45.00
Date 01/09/2003
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 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
O/HKO/H
ON THE WATER
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 Cit) 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
~(f 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 []
[2Multi-Family
[] Temporary
' F1Not Applicable
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family r-IDuplex
SERVICE F1New
~Change
TYPE ~Overhead ~Not Applicable
~Under~ound
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # J Circuits #
Phase Si ~c~['e.
Amps ~ O0~ Switches # Fixtures #
CHECK [] ALL APPLICABLE
nRange [2Dishwasher F1Garbage Disposal [:]Dryer [2Water Heater
F1Fan OR Blower [2Furnace [2A/C []Electric Sign
r'lMotors [2Gas Pumps mOther
DESCRIPTION OF ALL WORKBEING~DONE i00-'A ~_~Jr. ~"q'i(~,~.. ~_~6[hO~-'e.,~ V
VALUE (Including labor an~n~rialsff~ng,lj ~ures) $ ~<~{'4-. ~.~
MASTER ELECTRICI a' _.W__.XX '> ...---'"-'X
3/02