HomeMy WebLinkAbout0099433-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 23 FULTON AVE
Contractor TRUCK ELEC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GERALD J BERGER
Category 634- Residential-Service Change
Amps 100
Change (~) Temp
Type I~ Overhead
Circuits 2
Switches 0
No 99433
Create Date 01/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/ RENTAL/ Service change. Add circuits and recpts in bath & kitchen.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
$60.00
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
ELECTRICAL
PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF WATER
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 System and ha'~e adequate funds, check here
if you want this processed through your account []
JOB AOOm~SS ~ ~'~-~-~ ~v'~
CHECK [] ALL APPLICABLE
e Family I-IDuplex r'lMulti-Family
SERVICE ~hange
~ental
IZITemporary TYPE
EINot Applicable
DATE
JAN ? 0 20o3
Dr
DCommercial ~bdustfial
~rhead ~Not Applicable
~Under~ound
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts }o'/J2> / ~-(-0 Receptacles # '2.----- Circuits #
Phase' /0/.~../.~~
Amps _ - Switches # Fixtures #
CHECK [] ALL APPLICABLE
angoe FIDishwasher ElGarbage Disposal EIDryer
R Blower FIFurnace FIA/C l-lElectric Sign
I-IMotors EIGas Pumps ElOther
DESCRIPTION OF ALL WORK BEING DONE ~Jx-wr~x~( Cr~ ~-'~h~~ ,
I-lWater Heater
MASTER ELECTRICIAN /
/
3/02