HomeMy WebLinkAbout0099980-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1621 WESTERN ST
Contractor J.A.W.S. ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DAWN L KILE
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99980
Create Date 02/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service upgrade.
Work
Fees: Valuation
Issued By:
$650.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 02/27/2003
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
OSHKOSH
ON THE WATER
Job Address 1621 WESTERN ST
Contractor J.A.W.S. ELECTRIC
Service ~:~ New ~1~ Change
Volts 120 / 240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
(]]) Temp
Owner
Category
DAWN L KILE
634 ~ Residential-Service Change
Type _(~ Overhead
Circuits 0
Switches 0
No 99980
Create Date 02/2712003
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service upgrade.
Work
Fees: Valuation
Issued By: ~
$650.00 Plan Approval $0.00 Permit Fee Paid $30.00
Date 02/2712003
[] Permit Voided
In the performance o.f this work J-agree tog_p~rform all work pursuant to rules governing the described construction.
Signature ('"X~. l ~r~' ~'~ Date
p~O~K' ' v Agent/Owner
Address 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKG/H
ON THF 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 you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~;~ingle Family F1Duplex
F1Multi-Family
SERVICE ElNew
~![.Change
F1Temporary
DNot Applicable
l-lRental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts )O,.c> / e~ Receptacles #
Phase /~>
Amps / 0 tZ> Switches #
F1Commercial Fllndustrial
C1Overhead C1Not ApPlicable
DUnderground
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange
FIFan OR Blower
F1Motors
FIDishwasher
FIFumace
F1Gas Pumps
FIGarbage Disposal
EIA/C
F1Other
F1Dryer
F1Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
!
VALUE (Including labor and all materials includ~in_g light fixtures) $
MASTER ELECTRICIAN ~X ;i% ~~ ..... ~x~.~.
2. '.c.o
3/02