HomeMy WebLinkAbout0100090-Electric (upgrade)
.
OSHKOSH
ON THE WATER
Job Address 15 CRIMSON LN
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 100090
Owner
DOUG KIKRISTINE PETERSON
Create Date 03/06/2003
Contractor
JAW.S. ELECTRIC
Category 634 - Residential-Service Change
Plan
Service
p New
120/240
. Change
0 Temp
Type
0 Overhead
0 Underground
Volts
Circuits
0
Fixtures
0
Amps
100
Switches
0
Receptacles
0
Appliances
Use/Nature of SFR/ 100amp OH service upgrade.
Work
Fees: Valuation
Issued BY:~
$650.00
Plan Approval
$0.00
Permit Fee Paid
$30.00
Date 03/06/2003
--
D Permit Voided I
erform all work pursuant to rules governing the described construction.
Signature
Date
!S ) Ú ) (:/':1
, ,
Address
PO BOX 22
Agent/Owner
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
~
OfHKOfH
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 vou are a contractor DarticiDatinf!: in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed throuf!:h vour account 0
JOB ADDRESS
OWNER
)5 CA\.s)\s,oD ¿/v.
XR5 PEJc~S'OC\
CONTRACTOR . ~ . A - ~.'...s E- ¿(; c.
DATE .3 ¡tv )03
, I
CHECK ~ ALL APPLICABLE
USE CATEGORY
ßlSingle Family DDuplex
DMulti-Family
0 Rental
0 Commercial
0 Industrial
SERVICE DNew
J8tChange
DTemporary
DNot Applicable
TYPE j¿(Overhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts )'¿O I è~\O
Phase J ø
Amps /OD
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
0 Fumace
DGas Pumps
DGarbage Disposal
DAIC
0 Other
DDryer DWater Heater
DElectric Sign
VALUE (Including labor and all materials including light fixtures) $
MASTERELECfRlCIAN -cJ f\ '::'.~R
!'lSrSCìroÍ\ (iT 2~oo -IVI I
00
cDSO-
3/02
Job Address 15 CRIMSON LN
Electric Permit Work Card
Permit Number 100090 Create Date 03/06/2003
Owner DOUG KiKRISTINE PETERSON
Contractor J.AW.S. ELECTRIC
Category 'Eo":; Resfdential-Service Change
. ChangeO Temp 0 N/A 1 Type. Overhead
Circuits 0
Service p New
Volts 120/240
Fee
~D
0 Underground 0 N/A -_J
Fixtures 0
Receptacles
Value $650.00
Amps
100
Switches 0
Appliances
Use/Nature
of Work
FR/100amp OH service upgrade.
Date
Type Service
Inspector Jon Fischer
approved
Inspections:
COUNTER REQUEST.
3/7/03 approved
3/7/03 called in
3/10/03 mailed in
Datemme requested: 03/06/2003 07:51 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 03/07/200302:00 PM Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
JAW.S. ELECTRIC
------------ ----------- ---------------------- --------------------------------------.