HomeMy WebLinkAbout0099434-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1711 1719 W 9TH AVE
Contractor TRUCK ELEC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DENNIS D LARSEN
Category 643- Commercial-Addition/Remodels
Amps 400
(~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 99434
Create Date 01/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ DUPLEX/1719/ Change service. Refeed existing panel. Add lights in storage area.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
$75.00
Date 01/13/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130 ,
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVE
?_O03
C0~ ~ r ~ ~ O ~ F W~ ~
ELECTRICAL PERMIT
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 b, eing 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 $),stem and ha~,e adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family ~uplex FIMulti-Family IDRental
SERVICE FINe~ FITemporary TYPE
[~ange FINot Applicable
~o~ercial
FIOverhead
B~f'fi~derground
Fllndustrial
F1Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts/~Td~ / <~5C-6) Receptacles # "'"'J Circuits #
Phas~ - f.~ j
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher F1Garbage Disposal F1Dryer
EJFan OR Blower FIFurnace VIA/C F1Electric Sign
I-IMotors F'lGas Pumps I"lOther
DESCRIPTIQN OF ALL WORK I~EING DONE
-
FlWater Heater
VALUE (Including labor ~an~/~
MASTERELECTRIC~/~N / ~
3/02