HomeMy WebLinkAbout0090915-Electric (service change)/~"~ CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2302 JEFFERSON ST Owner BETTY A KERWIN LIFE ESTATE
Contractor SUBURBAN ELECTRIC INC Category 634 -Residential-Service Change
Service New ~ Change ~ Temp Type ~ Overhead
Volts 120/240 Circuits
Amps 100 Switches
Appliances
Use/Nature of
Work
No 90915
Create Date 10/23/2001
Plan
0 Underground
Fixtures
Receptacles
/ 60A-100A OH
Fees: Valuation
Issued By: ,~
$820.00 Plan Approval $0.00
Permit Voided j
Permit Fee Paid $40.00
Date 10/29/2001
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 709 HICKORY FARM LN APPLETON WI 54915 - 0 Telephone Number (920) 739-5156
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
C I ' Oshkosh, WI 54903-1130
~j Fax (920) 236-5084
ON THE WATER
Phone (920) 236-5046
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE ~ti ~
JOB ADDRESS ~~~~L ~- ~~= F~-C~~~~,
OWNER ~ ~ " ~ ~ I ~ !1 W ~ ,
CONTRACTOR ~ U ~~L} i~'•~ 11 :y ~ L t Z '7 i\+ C.
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CIRCLE ALL APPLICABLE
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USE CATEGORY ~GI.,E---FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHA- NG~~ TEMPORARY NOT APPLICABLE
TYPE OVERH ~ UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS ~ (% lc VOLTS l.'4'~ / ,1 L/LG 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 ~ (; t' L f C (~ n ~u1 ~'~ ~5~ C i~ l11 L t ~ C' L1,.
i -t,' c 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) $ ~,~ `,
MASTER ELECTRICIAN ~ ~~. Vr,.
~~~
Electric Permit Work Card
Job Address 2302 JEFFERSON ST Permit Number 0 Create Date 10/23/2001
Owner BETTY A KERWIN LIFE ESTATE Contractor SUBURBAN ELECTRIC INC
Category 634 -Residential-Service Change
Service (J New ~ Change Temp ~ N/A Type ~ Overhead !~ Underground ~ N/A _ i,
Volts 120/240 Circuits Fixtures
Amps 100 Switches Receptacles
Fee $40.00 ~ Value $820.00
Appliances
Use/Nature SFR / 60A-100A OH
of Work
I
Inspections:
Date 10/23/01 Type Service Inspector
9:17 AM
THUR 10/25/01 NOON
Date 10/26/01 Type Service
10/25/01 called in
10/29/01 mailed in
Inspector Jonathan Fischer //~ / .,
Approved
~pproved