HomeMy WebLinkAbout0088143-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 253 W 14TH AVE
CITY OF OSHKOSH
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No 88143
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JAY A MASTERSON & WF
Create Date 08/08/2001
Contractor
LARK ELECTRIC
Category 634 - Residential-Service Change
Plan
Service
0 New
. Change
0 Temp
Type
0 Overhead
0 Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances
"W~-'l" -,._-
Work
Fees: Valuation
$800.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By: ~
Date 08/08/2001
0 Permit Voided I
In the performance of this work I agree to perform ail work pursuant to nules goveming the described construction.
Signature
Date
Agent/Owner
Address
927 N LARK ST
PO BOX 3206
OSHKOSH
WI 54902 - 3347
Telephone Number (920) 231-8625
Job Address 253 W 14TH AVE
Owner JAY A MASTERSON & WF
Electric Permit Work Card
Permit Number ~ Create Date 08/0812001
Contractor LARK ELECTRIC
Category 634 - Residential-Service Change
Service 0 New
Volts
8 ChangeD Temp 0 N/A
I Type 0 Overhead
0 Underground 8N/A
Fixtures
Receptacles
Value $800.00
Circuits
Amps
Switches
Fee
~D
Appliances
Use/Nature
of Work
/7/01 service change8l7101 Lark coiled
nspect at 8/16101at noon
Date 8110/01
Type Service
Inspections:
819101 coiled wps. mailed20th