HomeMy WebLinkAbout0099530-Electric (service change)OSHKOSH
ON THE WATER
Job Address 115 W SOUTH PARK AVE
Contractor J.A.W.S. ELECTRIC
Service ~) New O Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Amps 100
Owner
Category
Circuits
Switches
(~) Temp
CALEB J/SUSAN M NICHOLS
634 - Residential-Service Change
Type ~_ Overhead
0
0
No 99530
Create Date 01/21/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100 amp overhead service upgrade
Work
Fees: Valuation
Issued By: /
$750.00
Plan Approval
$0.00 Permit Fee Paid $35.00
[] Permit Voided
Date 01/21/2003
In the performance pf this
Address P~X 22
all work pursuant to rules governing the described construction.
Date
Agent/Owner
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 THF \,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 SFstem and have adequate funds, check here
if you want this processed through your account []
DATE
)
I
CHECK [] ALL APPLICABLE
USE CATEGORY
~[Single Family [2Duplex [2Multi-Family
SERVICE l-lNew F1Temporary
~Change F1Not Applicable
[2Rental [2Commercial [2Industrial
TYPE ~)verhead FINot Applicable
ElUnderground
FILL IN THE APPROPRIATE BLANK WITH TIlE NUMBER
Volts ) ~O / ~ID Receptacles #
Phase ! ~Z5
Amps / 0 C;> Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher F1Garbage Disposal
F1Fan OR Blower F1Fumace [3A/C
VIMotors VIGas Pumps FlOther
F1Dryer
ElElectric Sign
[3Water Heater
DESCRIPTION OF ALL WORK BEING DONE
3/02