HomeMy WebLinkAbout0090270-Electric (service change)- CITY OF OSHKOSH No 90270
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 804 JOHN AVE Owner GERALD D MATHUSEK Create Date 10/08/2001
Contractor SLIM'S ELECTRIC, INC. Category 654 -Industrial-Service Change Plan
Service New ~ Change ~ Temp Type ~ Overhead ~ Underground
Volts 120/240 Circuits 1 Fixtures
Amps 100 Switches Receptacles
Appliances
Use/Nature of FIVE-STAR/ Upgrade service from 60 to 100 amps. Add circuits for furnace and kitchen.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: ~hI'1 Date 10/08/2001
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2608 OAKWOOD CIRCLE OSHKOSH WI 54904 - 0
Telephone Number (920) 426-5249 p 920-234
Dlvisioa of Inspectica- Bsrvicee
215 Church Avenue
P.O: ~rnc 1130
Oshkwh, NI 54903-1130
Bax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PRRMIT APPLICATION
All information after bald categories must be provided.
incomplete applications sill not be processed.
soap AnnRESS 804 John St.
o~ Fiv_ a-Star
corn~AC~roa Slim's Electric Inc.
CIRCLH ALL APPLICABLE
~~ 10/05/01
088 C7lTSAORY SINGLE FAMILY DUPLEX MULTI-FAMILY R$NTAL COMMERCIAL INDUSTRIAL
SERVICE N8W CHANG TEMPORARY NOT APPLICABLE
TYPE OV~ UNDBRGRO[iND NOT APPLICABLE
ND. Op FIXTURB$ SWITCHES RSCEPTACLSS CIRCUITS
„„~s 100 voL~s 120 ~ 240 ~: 1
CASClC ALL J-PBLICAHLE
RANGE WATER HSAT$R GARHA<,'S DISPQSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
ns$c~=~r~op os A~ ~~ sall~c# noes Up grade service from 60 to 100 amps.
AC1~ circuits or urnace and ~ n.
• 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.
VALIIS
:ixenru) ~ 1000.00
Electric Permit Work Card
Job Address 804 JOHN AVE Permit Number 90270 Create Date 10/08/2001
Owner GERALD D MATHUSEK Contractor SLIM'S ELECTRIC, INC.
Category 654 -Industrial-Service Change
Service New ~ Change Q Temp Q N/A Type ~ Overhead Q Underground Q N/A
Volts 120/240 Circuits 1 Fixtures
Amps 100 Switches Receptacles
Fee x45.00 ~ Value 31,000.00
Appliances
Use/Nature
of Work
FIVE-STAR/ Upgrade service from 60 to 100 amps. Add arcuits for furnace and kitchen.
Inspections:
Date 10/22/01 Type Service Inspector Jonathan Fischer
10/22/01 slim called for inspection as early as possible
10/22/01 called in
10/29/01 mailed in