HomeMy WebLinkAbout0100079-Electric (meters split)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 135 CHURCH AVE Owner JANSEN ETAL ROBERT F Create Date 02/18/2003
Contractor B.Q. ELECTRIC SERVICES Category 633 - Residential-Multi-Family Addition/Rem Plan
Service I~ New O Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 100079
Appliances
Use/Nature of MULTI-FAMILY/RENTAL/Service change split into six meters (5 apt meters and 1 house meter) and bring some apts up to code.
Work
Fees: Valuation
Issued By:
$10,000.00 Plan Approval $0.00 Permit Fee Paid $180.00
Date 03/05/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HAR 0 5 2005
H
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 Cit,) Hall, Room 205 or mailed to Inspection Services, PO Box 1128,.
Oshkosh WI 5490%1128. Commfncing work without permit(s) will result in fees being doubled or $1.00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinx in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
EISingle Family ElDuplex · [~lulti-Family
SERVICE F'lNew I-]Temporary
l~Change ' FINot Applicable
~Rental
TYPE
nCommercial nlndustrial
iglOverhead F1Not Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # FiXtures #
CHECK [] ALL APPLICABLE
l-IRange F1Dishwasher F'lGarbage Disposal [3Dryer
ElFan OR Blower F1Furnace F1A/C F1Electric Sign
ElMotors F1Gas Pumps I-IOther
/D,_EfCRIPTION OF ALL W.D~,K BEING DO1NTE~ iO P.~ (.~~S~ ~pll ~
[3Water Heater
VALUE (Including labor and all~terials~~includin_~Aight fixtures) $ / 07 ~-..~D. t.~
3/02