HomeMy WebLinkAbout2001-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1003 WRIGHT ST
Contractor A & SELECTRIC LLC
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 88405
Owner
K & K PORPERTIES
Create Date 07/12/2001
. Change
o Temp
Category 634 - Residential-Service Change
Type . Overhead
Plan
o Underground
Service
b New
Volts
Circuits
Fixtures
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR / SERVICE CHANGE FROM 60 TO 100 AMP
Work
Plan Approval
$0.00
Permit Fee Paid
Issued By:
~../ $950.00
)
$45.00
Fees: Valuation
Date 08/17/2001
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
1008 WEST NORTH AVENUE
AgenUOwner
LITTLE CHUTE WI 54140 - 0
Telephone Number (920) 788-6650
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OJH<OfH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
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ELECTRICAL PERMIT APPLICATION
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All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
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JOB ADDRESS / ()~-3
OWNER 1'__ -..,l I::-
CONTRACTOR q .y..... . r
((.);-iJ hr.. ,S r
pr.dp.t":..r7"'/GS
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CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
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SERVICE
NEW
CHANGE
TEMPORARY
NOT APPLICABLE
TYPE
OVERHEAD
UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS
VOLTS
/
PHASE
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
A/C_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE EJ~ L 1" i"; L.;! _ J
/'06 :r/5 OlrA L1 7Yt-p
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$/ r/ d /.. L . G h. d... ~ t....
. 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 labor and all materials including light fixtures) $
9'{'(j. LJ<:3
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KASTER ELECTRICIAN &.....:J ;: 4c.4 c#