HomeMy WebLinkAbout0087276-Electric (service change)
!:'"
~
OSHKOSH
ON THE WATER
Job Address 1849 HUBBARD ST
Contractor ARROW ELECTRIC OF OSHKOSH
CITY OF OSHKOSH
No 87276
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PAUL H. / ROXANNE LUDVIGSON
Create Date 07/05/2001
Service b New
Volts 120/240
. Change
o Temp
Category 634 - Residential-Service Change
Type . Overhead
Plan
o Underground
Circuits
Fixtures
Amps
100
Switches
Receptacles
Appliances
Use/Nature of ~FR I STORM DAMAGE / UPGRADE FROM 60 TO 100 AMP SERVICE CHANGE SINGLE PAHSE
Work
Fees: Valuation $1,287.01
Issued By: ~ c::;
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 07/05/2001
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
Agent/Owner
Address
POBOX 3960 - 280 E FERNAU AVE
OSHKOSH
WI 54903 - 3960
Telephone Number (920) 426-4252
Oc,
....
,."\
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE ~/:;J('/~,
JOB ADDRESS J 3i9
~/ubb cv-l
s4/"ed.
OWNER P CA-V l1-vJ...v:.'}'st..v
CONTRACTOR It r/"Owo c:.lt.J~: c..
CIRCLE ALL APPLICABLE
USE CATEGORY ~I~GLE FAMILY> DUPLEX MULTI-FAMILY RENTAL COMME~CIAL INDUSTRIAL
SERVICE
NEW
~H~
~
TEMPORARY
NOT APPLICABLE
TYPE
UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS 100
VOLTS 1;)0 I ~'Yi?
PHASE / 6.
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
(p <') /.} "'" .0 -Iv 10 r.J ~ __ p,
, ..
S.f(}""r'V\~Ai"Vl 4..5 e
ul'yo...J..f. f....o&""
C) 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. ~ lot) ,00
VALUE (Including labor and all materials including light fixtures) $ I ~9'7. 0'
MASTER ELECTRICIAN