HomeMy WebLinkAbout0097871-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 828 HARMEL AVE
CITY OF OSHKOSH
No 97871
ELECTRIC PERMIT - APPLlCATIO~ AND RECORD
Owner
ANN C MONROE
Create Date 10/08/2002
o Temp
Category 634 - Residential-Service Change
Type 0 Overhead
Plan
Contractor JAW.S. ELECTRIC
Service b New
Volts 120/240
. Change
o Underground
Circuits
o
Fixtures
o
Amps
100
Switches
o
Receptacles
o
Appliances
Use/Nature of ISFR/100amp OH.service upgrade.
Work
Fees: Valuation
Issued By: f(.\J'J\..
$650.00
Plan Approval
$0.00
Permit Fee Paid
$30.00
Date 10/08/2002
o Permit Voided I
Signature
erform all work pursuant to rules governing the described construction.
Date
)(::~ J ? )0<-
I /
Address
AgenUOwner
VAN DYNE
WI 54979 - 22
Telephone Number (920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
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ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI "54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particivatinf! in the Permit Fee Account Svstem and have adeQuate funds. check here
if vou want this vrocessed through vour account 0
DATE
)o/~ /D'-
JOB ADDRESS 82. B K 'i R f(\cL
BiLL mD'lRcE
CONTRACTOR ~. .A . V..' ~ E Lt? c .
OWNER
CHECK ItJ ALL APPLICABLE
USE CATEGORY
J8lSingle Family
SERVICE ~ew
)8Change
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
o Temporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
J2..o / 2.40
ICZ>
I ex:::>
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ItJ ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONC
DOther
o Dryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
JDC:;J A<<I P o vcRJ-\E A b :5EP... VO 0 Pb6>..f\ 'hE
WaR\<, IS 13.clt16 fjOt1C on -rJ../vAS" /DJH~JO'"L
w)LL Bt:~ "'IE. ft'!1'j ro(iJ.. 1r1SPEC'/Jo.0 hI 2:0c> f.tO-
(P5D(?~
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN -d:L Ii. ~
3/02