HomeMy WebLinkAbout2002-Electric (cable)
"~.
OSHKOSH
ON THE WATER
Job Address 1408 W 3RD AVE
CITY OF OSHKOSH
No 96528
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES C/SUSAN A ROBL
Category,! 634 - Residential-Service Change
Create Date 08/12/2002
Contractor
TRUCK ELEC
0 New
Plan
0 Underground
Service
. Change
0 Temp Type 0 Overilead
Circuits ~
Switches ~
Volts
Fixtures
0
Amps
~
Receptacles ~
Appliances
Use/Nature of FR/ Replace service entrance cable with PVC above meter.
Work
Fees: Valuation
Issued By: kVV\
$600.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 08/12/2002
D Penmit Voided I
In the perfonmance of this work I agree to perfonm all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
690 W 3 RD AVE
OSHKOSH
WI 54902 - L-
Telephone Number (920) 233-7191
e
Division of Inspection Services
215 Church Avenue
P.O. Box 1130 •
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
ON THE WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 4 ( 9 e
JOB ADDRESS 67 c
OWNER $-1 (P a.
CONTRA TOR / �� ' ,L77 e. - ir c__
CIRCLE ALL APPLICABLE
USE CATEGORY INGLE FAMIL DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW HANG TEMPORARY NOT APPLICABLE
TYPE (.QVERHE UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE e 1 i - ' - 4 LL I
r(�- io to:- .p e ,.ye frcearC
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labo- -rid all materi= _ ' ncluding light fixtures) $
Y �r
MASTER ELECTRICIAN IA., ,,: .____
\\.