HomeMy WebLinkAbout0089425-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1208 BISMARCK AVE
CITY OF OSHKOSH
No 89425
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT J PELLlNGER
Create Date 08/29/2001
. Change
o Temp
Category 634 - Residential-Service Change
Type . Overhead
Plan
o Underground
Contractor SLIM'S ELECTRIC, INC.
Service
o New
Volts 120/240
Circuits
Fixtures
Amps 100
Switches
Receptacles
Appliances
Use/Nature of SFR/ (8~/01) service change 6- to 100
Work
Fees: Valuation
Issued By: _kW'\
$900.00
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 09/19/2001
D 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 2608 OAKWOOD CIRCLE
Agent/Owner
OSHKOSH
WI 54904 - 0
Telephone Number (920) 426-5249 P 920-234
".'" ....
0&
Division of Inspection Services
215 Church Avenue
l?0; 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
08/31/01
JOB ADDRBSS 1208 Bismark St.
OWNER Loi_~ Pellinger
CONTRAC'l'OR Slim's Electric Inc.
CIRCLB ALL APPLICABLB
USB CATEGORY \ SINGLE FAMILY1 DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
snnCE NEW lCHANQB) TEMPORARY NOT APPLICABLE
TYPB
I OVERHEA.P).
UNDERGROUND
NOT APPLICABLE
NO. OP FIXTURES
AMPS 1 00
SWITCHES RECEPTACLES
VOLTS 120 / 240 PHASB
CIRCUITS
1
CHBCK ALL APPLICABLE
RANGE_
WATER HEATER_
GARBAGE DISPOSAL_
DRYER_
MOTORS_
FURNACE_
GAS PUMPS_
A/C_
DISHWASHER_
ELECTRIC SIGN_
FAN OR BLOWER_
OTHER
DBSCRXPTXON OF ALL WORlt BEING DONB
. 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.
VALtm (Includb.g 1
. light fixturu) $ 900.00
IfAS'I'B BLBCl'R.IC:tUl
Electric Permit Work Card
Job Address 1208 BISMARCK AVE Permit Number 0 Create Date 08/29/2001
Owner ROBERT J PELLlNGER Contractor SLIM'S ELECTRIC,INC.
Category 634 - Residential-Service Change
Service p New o ChangeO Temp . N/A I Type o Over~e~<!___D Undergro':l~~. N/A i
Volts Circuits Fixtures
Amps Switches Receptacles
Fee $0.00 0 Value $0.00
Appliances
Use/Nature 3/59/01 service change 6- to 100
of Work
Inspections:
U Approved
Date 8/29/01
Type
Inspector Jonathan Fischer
8/29/01 slim called for inspection am
Date 8/29/01
Type Service
Inspector Jonathan Fischer
~ Approved
8/29/01 called in
9/3/01 mailed in