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HomeMy WebLinkAbout0100008-Electric (service change south side)OSHKOSH ON THE WATER Job Address Contractor Service Volts 480 1301 KNAPP ST VAN ERT ELECTRIC [~ New (~ Change (~ Temp Amps 1200 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner VULCAN LANDS INC Category 654- Industrial-Service Change Type I~ Overhead Circuits 0 Switches 0 No 100008 Create Date 02/28/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of IND/Change service on south side of the property address - 1204 South Park Ave. *Job #Fl 289DL. Work Fees: Valuation Issued By: $8,100.00 Plan Approval $0.00 Permit Fee Paid $135.00 Date 02/28/2003 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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number 920-766-3888 02/26/02 .f 15:57 FAX 920 ?66 0585 VAN ERT ELECTRIC ~002 City of Oshkosh Division of In.v~e~on Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ELECTRICAL PERMIT APPLICATION Ail information after bold categories must be provided. lncomplctc applications will not bc processed. COSWR CrOR · 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* normal permit fcc, which ever is greater. OR If you are O. contractor participating in the Permit ~ee ,4ccount System and have_ adeauate funds, check if'you want this processed throut~h ~,our account ~ -- - - CH~CK ~ ALL APPLICABLE USE CATEGORY I-ISin§lc Family SERVICE EINew ~Change ElDuplcx mMulti-Family [~Temporary {~Not Applicable [3Rental ElComrnorcial ~ndustrial TYPE J~_ Overhead UINot Applicable {~lUndcrground FILL IN THE APPROPRIATE BLANK WITH TIIE ,NUMBRR_ volts ~ Receptacles #' . Phase ,_~ ~' Amps ./?..9 ~::~__.) Switches # Circuits # Fixtures # CHRCK Iii ALL APPLICABLE VIRangc ClDishwasher CiGarbagc Disposal OFan OR Blower ElFumacc EIA/c r-iMotors I"[Gas Pumps ~Oth~ C]Electric $i~ ElWater Heater DESCRIFTION OF ALL WORK BEING DONE VALI.~ (Including labor au~l all malerials including light /