HomeMy WebLinkAbout0099147-Electric (service change)OSHKOSH
ON THE WATER
Job Address 403 E LINCOLN AVE
Contractor JACK'S ELECTRIC INC
Service ~) New · Change
Volts 120/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
O Temp
Owner
Category
Circuits
Switches
BRUCE R WOODLAND
634 - Residential-Service Change
Type (~)Overhead
0
0
No 99147
Create Date 12/18/2002
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFPJ Service change from 60 to 100 amps.
Work
Fees: Valuation
Issued By: ~-~/~
$900.00 Plan Approval
$0.00 Permit Fee paid $40.00
[] Permit Voided
Date 12/19/2002
In the performance of this work I agree to perform all work pursuant to rules govermng the described construction.
Signature Date
Agent/Owner
Address 117 N DOUGLAS ST APPLETON WI 54914 - 0 Telephone Number
(920) 733-1591
City of Oshkosh
Division of Inspection Services
P.O. Box 1'130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 -
RECENED
ELECTRICALPER
All info~ation after bold ca~f~ust Be provided.
Inco~lete applications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City Hail, 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 thix processed thr?o_u_g.h_ your account []
JOBADDRESS 403 E. Lincoln gvenue
OVCNER BruCe Woodland
Jacks Electric Inc.
DATE December 17,2002
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family FlDuPlex
nMulti-Family
SERVICE F1New
83Change
FITemporary
ElNot Applicable
nRental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
ElCommercial n Industrial
k-lOverhead nNot Applicable
ElUnderground
Volts 12 0 / 2 4 0 Receptacles # Circuits #
Phase Single
Amps 1 0 0 Switches # Fixtures #
CItECK [] ALL APPLICABLE
FIRange UlDishwasher [DGarbage Disposal nDryer
ElFan OR Blower nFumace E]A/C nEtectric Sign
F1Motors FqGas Pumps [2]Other
F1Water Heater
DESCRIPTION OF ALL WORK BEING DONE Service Change 60 A to 100A
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN J a c k Yo ge r st
3/02