HomeMy WebLinkAbout0092643-Electric (service change & misc)
.,
G.
OS1-iKOSH
ON THE WATER
Job Address 1226 BISMARCK AVE
CITY OF OSHKOSH
No 92643
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ERIC D SAWICKI
Create Date 02/13/2002
Service
b New
. Change
o Temp
Category 634 - Residential-Service Change
Type 0 Overhead
Plan
o Underground __---.-I
Contractor
W.J. LEASA ELECTRIC, INC.
Volts 120/240
Amps 100
Circuits
o
Fixtures
o
Switches
o
Receptacles
o
Appliances
Use/Nature of SFRI Service upgrade to 1 OOamp overhead with a circuit Square D "QO" style breaker panel. Install 2 weather proof GFI receptacles.
Work Inspect wiring to garage and install a 20 circuit if possible. Install 3 ceiling light/fan outlets & single pole switchesfor bedrooms.
Fees: Valuation
$1,180.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By: v..,\(V\
Date 02/13/2002
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
Agent/Owner
Address
616 S MILITARY RD
FOND DU LAC WI 54935 - 4700
Telephone Number (920) 921-6550
r-'
~~
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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 02/08/2002
JOB ADDRESS 1226 Bismark Ave
OWNER Eric Sawi cki
CONTRACTOR W.J. Leasa Electric, Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
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
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
Service upgrade to 100A overhead with a 24 circuit Square D "QO" style breaker
panel. Install two weather proof GFI Receptacles. Inspect wirinq to qaraae and
install a 20 circuit if possible. Install three ceiling light/fan outlets and
single pole switches for bedrooms.
. 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.
MASTER
a r-~t~rials including light fixtures) $
///'
1180 00
VALUE
(Including labOr/;,nd
! I.
:j f
ELECTRICIAN .- ~
Electric Permit Work Card
Job Addl'ess 1226 BISMARCK AVE Permit Number 92643 Create Date 02/13/2002
Owner ERIC D SAWICKI Contractor W.J. LEASA ELECTRIC, INC.
Category 634 - Residential-Service Change
Service b New . ChangeO Temp ON/A I Type . Overhead o Underground ON/A I
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Fee $60.00 0 Value $1,180.00
Appliances
Use/Nature SFRI Service upgrade to 100amp overhead with a circuit Square D "00" style breaker panel. Install 2
of Work weather proof GFI receptacles. Inspect wiring to garage and install a 20 circuit if possible. Install 3
ceiling light/fan outlets & single pole switchesfor bedrooms.
Inspections:
U Approved
Date 02/14/2002
Type Service
Inspector Jonathan Fischer
2/14/02 called for inspection on monday 2/18/02 late morning
Date 02/20/2002
Type Service
Inspector Jonathan Fischer
2/18/02 called in
2/25/02 mailed in